• Eur Spine J · Jun 2012

    Case Reports

    The role of MRI in spinal stab wounds compared with intraoperative findings.

    • Stephan Emich, Friedrich Weymayr, Jürgen Steinbacher, and Mark R McCoy.
    • Department of Neurosurgery, Christian Doppler Clinic, Paracelsus Medical University, Ignaz Harrer Str. 79, 5020, Salzburg, Austria. s.emich@salk.at
    • Eur Spine J. 2012 Jun 1;21 Suppl 4:S535-41.

    IntroductionSpinal stab wound injuries are quite rare and only few patients have been reported on the basis of MRI scan.MethodsA 25-year-old man was stabbed at C1/2 and had an incomplete Brown-Sequard syndrome. He underwent surgical exploration because of CSF leakage on the fourth day.ResultsAfter a follow-up period of 32 months, he was left with a remaining loss of the proprioception of the right foot. We show detailed CT and MR images with the focus on the lesions of the dura and myelon and compared them with intraoperative images. In addition, we contrast our findings with a review of literature published over the last three decades.ConclusionMRI gives the most detailed view of soft tissue lesions in SSWs and is in accordance with our intraoperative findings.

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