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Revista Uruguaya de Medicina Interna

Print version ISSN 2393-6797On-line version ISSN 2393-6797


ALGORTA, Marcelo  and  MARTINEZ, Fernando. Spinal cord injuries. Presentation of clinical cases and management proposal. Rev. Urug. Med. Int. [online]. 2017, vol.2, n.1, pp.39-48. ISSN 2393-6797.

Spinal cord injuries are rare, but constitute up to 10% of spinal penetrating lesions. There are three cases of spinal cord injury, two women and one man who were attacked by knives at the level of the back. One injury was at the thoracic level and two at the cervical level. They were incomplete medullary lesions and received conservative management. The evolution was good in two patients and poor in one, which required a delayed mechanical ventilation and aggravated its motor deficit (quadriparesis to practically a quadriplegia). Based on these cases, the authors make a review of the subject and propose a diagnostic and therapeutic management scheme for penetrating spinal cord injuries not caused by firearms.

Keywords : penetrating spinal trauma; Brown-Sequard syndrome; stab wound injury.

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