Magnetic Resonance Imaging to Evaluate Cervical Spinal Cord Injury from Gunshot Wounds from Handguns

World Neurosurgery
Justin SlavinBizhan Aarabi

Abstract

Patients presenting with gunshot wounds (GSWs) to the neck are difficult to assess because of their injuries are often severe and they are incompletely evaluated by computed tomography (CT) alone. Our institution treats hundreds of patients with GSWs each year and we present our experience using magnetic resonance imaging (MRI) in the evaluation of cervical GSWs. From August 2000 to July 2012, all GSWs to the cervical spine treated at our institution were cataloged. Seventeen patients had 1 or more MRI studies of the cervical spine. Informed consent was obtained before MRI indicating the risks of retained metal fragments in the setting of high magnetic fields. CT scans were obtained before and after MRI to document any possible migration of metal fragments. We documented patients' neurologic examination results before and after MRI and at follow-up. Patients' age range was 18-56 years (mean 29.8 years). Eleven of 17 patients had retained metal fragments seen on CT scan, including 3 patients with fragments within the spinal canal. No patient experienced a decline in neurologic function after MRI. No migration of retained fragments was observed. Fifteen of 17 patients returned for follow-up examinations, with an average follow-up...Continue Reading

References

Oct 1, 1990·AJR. American Journal of Roentgenology·J J HollermanY Ben-Menachem
May 1, 1995·Surgical Neurology·M A HammoudN A Moufarrij
Feb 25, 1999·Journal of Magnetic Resonance Imaging : JMRI·S S SmugarE Hume
Apr 9, 2013·The Spine Journal : Official Journal of the North American Spine Society·Russell D DediniMurat Pekmezci
May 28, 2013·Military Medicine·Alexandra M KaracozoffFrank G Shellock
Jun 14, 2014·Journal of Neurosurgery. Spine·Narlin BeatyCharles A Sansur
Aug 15, 2014·Neurosurgical Focus·Eduardo Martinez-del-CampoNicholas Theodore

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Citations

Nov 1, 2018·Revista Brasileira De Ortopedia·Guilherme Valdir BaldoZaffer Maito
Oct 1, 2019·Journal of Magnetic Resonance Imaging : JMRI·Pejman Jabehdar MaralaniJeffrey Weinreb
Feb 28, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Noah G DitkofskyShobhit Mathur

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