Background: Guillain-Barre syndrome (GBS) is a rare but serious disorder involving peripheral nerve inflammatory demyelination characterized by acute onset tetraparesis and areflexia. Generally, GBS is preceded by a bacterial or viral infection, and post-traumatic or postsurgical GBS is rarely seen.
Case Description: A 41-year-old man with severe craniocerebral gunshot injury and open depressed occipital bone fracture was operated urgently. Two weeks postoperatively, he suffered from sudden quadriparesis. He had flaccid paralysis of his bilateral muscle lower extremities (0/5), along with bilateral upper extremity weakness (2/5).
Conclusions: We report the first case, to our knowledge, with post-traumatic GBS after craniocerebral gunshot injury. We want to indicate the possibility of post-traumatic GBS in cases of unexplained quadriparesis or quadriplegia after trauma or surgery.
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http://dx.doi.org/10.1016/j.wneu.2020.07.103 | DOI Listing |
Zh Vopr Neirokhir Im N N Burdenko
October 2024
Kirov Military Medical Academy, St. Petersburg, Russia.
Background: Advisability of magnets in neurotrauma is due to pattern of patients admitted to neurosurgical departments of military hospitals with wounds accompanied by intracranial fixation of foreign metallic ferromagnetic bodies.
Objective: To study dimensions, mass and magnetic properties of fragments extracted from gunshot wounds inflicted by modern weapons; to assess the feasibility of devices and instruments for removing foreign bodies.
Material And Methods: We analyzed foreign bodies extracted after gunshot wounds.
World Neurosurg
November 2024
Department of Pediatric Surgery, Moscow Regional Scientific Research Clinical Institute M.F. Vladimirsky, Moscow, Russia.
Objectives: Gunshot wounds to the head (GSWTH) in children remain an underexplored area, and all clinical guidelines extrapolated from adult experiences. A key challenge in treating these patients is age stratification, as pediatric survival rates are notably higher than in adults. The objective of the study is to compare 2 groups of patients based on the severity of their condition and to analyze the impact of various factors on the outcomes of these conditions.
View Article and Find Full Text PDFTunis Med
August 2024
Emergency Department, Ibn El Jazzar University Hospital, Kairouan, Tunisia.
Introduction: Facial gunshot wounds have devastating functional and aesthetic consequences for the patient. If associated with penetrating craniocerebral injuries, the prognosis is rather compromised even with appropriate medical and surgical treatment. Chop-off injuries with penetrating wounds constitute a challenging situation for the facial reconstructive surgeon in facial trauma.
View Article and Find Full Text PDFHead Neck
December 2024
Oregon Health and Science University School of Medicine, Portland, Oregon, USA.
J Trauma Acute Care Surg
August 2024
From the Division of Traumatology, Emergency Surgery, and Surgical Critical Care (J.S.H., S.G., E.J.K., J.A.Y., J.W.C., N.D.M., M.J.S.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Division of Trauma and Critical Care (N.A.M.), Feinberg School of Medicine, Northwestern University, Chicago, Illinois; and Department of Surgery (J.A.Y.), Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Bethesda, Maryland.
Background: Although several society guidelines exist regarding emergency department thoracotomy (EDT), there is a lack of data upon which to base guidance for multiple gunshot wound (GSW) patients whose injuries include a cranial GSW. We hypothesized that survival in these patients would be exceedingly low.
Methods: We used Pennsylvania Trauma Outcomes Study data, 2002 to 2021, and included EDTs for GSWs.
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