Nail Gun Injury of the Trachea and Spinal Cord

Introduction: A 26-year-old man was impaled by a nail after a nail gun accident. He was fully conscious with weakness and loss of sensation in the extremities. Cervical computed tomography showed a 9-centimeter long nail penetrating the spinal cord. The nail was removed surgically six hours after th...

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Bibliographic Details
Main Authors: Kohei Shibahashi, Kenji Numata
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2022-08-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/7z96g4bn
Description
Summary:Introduction: A 26-year-old man was impaled by a nail after a nail gun accident. He was fully conscious with weakness and loss of sensation in the extremities. Cervical computed tomography showed a 9-centimeter long nail penetrating the spinal cord. The nail was removed surgically six hours after the incident. Neurological deficits gradually improved, and at three-month follow-up the patient had completely recovered from muscle weakness and reported only mild sensory deficits in the bilateral sole of his foot. Discussion: This case showed a favorable neurological course, which may be attributed to the fact that the cervical spinal cord injury did not involve the corticospinal tracts and anterior horn.
ISSN:2474-252X