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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Autores principales: Piyawat Bintachitt, Ratanaphorn Chamnan, Weera Chaiyamongkol, Wongthawat Liawrungrueang
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Lenguaje:EN
Publicado: Prince of Songkla University 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic cervical myelopathy
mettalloma
metallosis of the cervical spine
Medicine
R
spellingShingle 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
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