Citation

Flores LP, Nascimento Filho Jde S, Pereira Neto A, Suzuki K. Arq. Neuropsiquiatr. 1999; 57(3B): 836-842.

Vernacular Title

Fatores prognosticos do trauma raquimedular por projetil de arma de fogo em

Affiliation

Unidade de Neurocirurgia do Hospital de Base do Distrito Federal, Brasília, DF. ifneiva@nutecnet.com.br

Copyright

(Copyright © 1999, Associacao Arquivos De Neuro-Psiquitria)

DOI

unavailable

PMID

10751920

Abstract

The spinal trauma related to civilian gunshot missile still remains a serious neurological event that carries a dismal prognosis almost in all cases. Its surgical indication also is a matter of discussion. Our goal is to identify the aspects that could influence the prognosis after surgery to this kind of lesions. We conducted a retrospective study of 45 consecutive patients submitted to laminectomy at Hospital de Base do Distrito Federal (Brasília, Brazil), testing the following aspects: initial neurological status, level of the deficit, surgical timing, use of methilprednisolone and presence of dural tearing. Among those, the initial clinical presentation and the level of the lesion (60% of the patients with cauda equina syndrome and 53% of that with lesions in the lombar region improved their neurological status after laminectomy) were the most important factors affecting the outcome. Seventy percent of the patients experienced a pain relief after the surgical procedure.

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