Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet
A Civilian gunshot wound associated with metallosis in the cervical spine region was an extremely rare case; hence, the clinician had difficulty with diagnosis and surgical treatment. A 57–year-old gentleman had a history of a gunshot wound injury going back 30 years. He presented with neck p...
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Prince of Songkla University
2021
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oai:doaj.org-article:bdc37c436a594c039535012ae5be88242021-11-25T08:25:12ZCervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet2586-99812630-055910.31584/jhsmr.2021804https://doaj.org/article/bdc37c436a594c039535012ae5be88242021-11-01T00:00:00Zhttps://www.jhsmr.org/index.php/jhsmr/article/view/804https://doaj.org/toc/2586-9981https://doaj.org/toc/2630-0559A Civilian gunshot wound associated with metallosis in the cervical spine region was an extremely rare case; hence, the clinician had difficulty with diagnosis and surgical treatment. A 57–year-old gentleman had a history of a gunshot wound injury going back 30 years. He presented with neck pain, progress of paresthesia of upper extremities and progressively difficult ambulation for 3 months. Radiographic and pathological diagnosis from tissue of the 7th paravertebral of the cervical spine showed foreign bodies consistent with metallosis. The patient showed improvement of symptoms after posterior cervical spine fixation and decompression. He had full recovery at 1 year follow up. Metallosis can occur in cases of chronic exposure to lead and metals. The results of this chronic process of metallosis will develop to metalloma, which then compresses the spinal cord and develops into myelopathy. The patient had a bullet, or piece of metal at the cervical spine, so surgical removal was performed to prevent further compression of the spinal cord from metalloma.Piyawat BintachittRatanaphorn ChamnanWeera ChaiyamongkolWongthawat LiawrungrueangPrince of Songkla Universityarticlecervical myelopathymettallomametallosis of the cervical spineMedicineRENJournal of Health Science and Medical Research (JHSMR), Vol 40, Iss 1, Pp 85-88 (2021) |
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cervical myelopathy mettalloma metallosis of the cervical spine Medicine R |
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cervical myelopathy mettalloma metallosis of the cervical spine Medicine R Piyawat Bintachitt Ratanaphorn Chamnan Weera Chaiyamongkol Wongthawat Liawrungrueang Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet |
description |
A Civilian gunshot wound associated with metallosis in the cervical spine region was an extremely rare case; hence, the clinician had difficulty with diagnosis and surgical treatment.
A 57–year-old gentleman had a history of a gunshot wound injury going back 30 years. He presented with neck pain, progress of paresthesia of upper extremities and progressively difficult ambulation for 3 months. Radiographic and pathological diagnosis from tissue of the 7th paravertebral of the cervical spine showed foreign bodies consistent with metallosis. The patient showed improvement of symptoms after posterior cervical spine fixation and decompression. He had full recovery at 1 year follow up.
Metallosis can occur in cases of chronic exposure to lead and metals. The results of this chronic process of metallosis will develop to metalloma, which then compresses the spinal cord and develops into myelopathy. The patient had a bullet, or piece of metal at the cervical spine, so surgical removal was performed to prevent further compression of the spinal cord from metalloma. |
format |
article |
author |
Piyawat Bintachitt Ratanaphorn Chamnan Weera Chaiyamongkol Wongthawat Liawrungrueang |
author_facet |
Piyawat Bintachitt Ratanaphorn Chamnan Weera Chaiyamongkol Wongthawat Liawrungrueang |
author_sort |
Piyawat Bintachitt |
title |
Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet |
title_short |
Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet |
title_full |
Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet |
title_fullStr |
Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet |
title_full_unstemmed |
Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet |
title_sort |
cervical spine myelopathy from metalloma association with chronic retention of a bullet |
publisher |
Prince of Songkla University |
publishDate |
2021 |
url |
https://doaj.org/article/bdc37c436a594c039535012ae5be8824 |
work_keys_str_mv |
AT piyawatbintachitt cervicalspinemyelopathyfrommetallomaassociationwithchronicretentionofabullet AT ratanaphornchamnan cervicalspinemyelopathyfrommetallomaassociationwithchronicretentionofabullet AT weerachaiyamongkol cervicalspinemyelopathyfrommetallomaassociationwithchronicretentionofabullet AT wongthawatliawrungrueang cervicalspinemyelopathyfrommetallomaassociationwithchronicretentionofabullet |
_version_ |
1718413582577696768 |