Cervical Intradural Glass Fragment: A Rare Cause of Neuropathic Pain


Akcakaya M. O., Aras Y., Yorukoglu A. G., Ovalioglu C., Sencer A.

TURKISH NEUROSURGERY, cilt.22, sa.5, ss.667-670, 2012 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 5
  • Basım Tarihi: 2012
  • Doi Numarası: 10.5137/1019-5149.jtn.4117-11.0
  • Dergi Adı: TURKISH NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.667-670
  • Anahtar Kelimeler: Intradural foreign bodies, Migration, Glass, Neuropathic pain, SPINAL-CORD INJURIES, SPONTANEOUS MIGRATION, NEUROGENIC CLAUDICATION, PENETRATING INJURIES, FOREIGN-BODIES, BULLET
  • İstanbul Üniversitesi Adresli: Evet

Özet

Intradural foreign bodies after penetrating injuries are seen very rarely. Limited number of cases of glass fragments in the spinal canal were reported previously. Migration of foreign bodies and delayed onset of neurological symptoms due to foreign bodies were also reported. In this report a 33-year-old male patient was presented, who had penetration of glass fragments through oropharyngeal mucosa in to the spinal canal after crashing into a glass door. Glass fragment, which migrated through an unusual route, and reached cervical spinal intradural space, caused neuropathic pain with radicular symptoms, 21 years after the initial injury. This case report emphasize that after penetrating injuries of spine, foreign bodies may remain silent until the patient became symptomatic years after the initial injury and these foreign bodies may migrate to extreme distant and unexpected locations in the central nervous system.