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Brown-Sequard syndrome associated with a spinal cord injury caused by a retained screwdriver: A case report and literature review
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Background:

Nonmissile penetrating spine injury (NMPSI) represents a small percent of spinal cord injuries (SCIs), estimated at 0.8% in Western countries. Regarding the causes, an NMPSI injury caused by a screwdriver is rare. This study reports a case of a retained double-headed screwdriver in a 37-year-old man who sustained a stab injury to the back of the neck, leaving the patient with a C4 Brown-Sequard syndrome (BSS). We discuss the intricacies of the surgical management of such cases with a literature review.

Methods:

PubMed database was searched by the following combined formula of medical subjects headings, (MESH) terms, and keywords: (((SCIs [MeSH Terms]) OR (nmpsi [Other Term]) OR (nonmissile penetrating spinal injury [Other Term]) OR (nonmissile penetrating spinal injury [Other Term])) AND (BSS [MeSH Terms])) OR (BSS [MeSH Terms]).

Results:

A total of 338 results were found; 258 were case reports. After excluding nonrelated cases, 16 cases were found of BSS induced by spinal cord injury by a retained object. The male-to-female ratio in these cases is 11:5, and ages ranged from 11 to 72. The causes of spinal cord injury included screwdrivers in three cases, knives in five cases, and glass in three cases. The extracted data were analyzed.

Conclusion:

Screwdriver stabs causing cervical SCIs are extremely rare. This is the first case from Iraq where the assault device is retained in situ at the time of presentation. Such cases should be managed immediately to carefully withdraw the object under direct vision and prevent further neurological deterioration.

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Publication Date
Fri Jan 15 2021
Journal Name
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Property and Possession in Gayl Jones’s Novel Corregidora: A Study in African American Literature and Literary Theory
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Thu Jun 28 2018
Journal Name
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The literature of the teacher and learner is a study in the light of “Holly Quran
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Publication Date
Mon Feb 24 2025
Journal Name
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Interleukine-6 Level in Saliva of Patients with Chronic Periodontitis: A Case-Control Study
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Sun Jun 08 2014
Journal Name
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Foreign direct investment and economic growth literature review from 1994 to 2012
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Foreign direct investment (FDI) has been viewed as a power affecting economic growth (EG) directly and indirectly during the past few decades. This paper reviewed an amount of researches examining the relationships between FDI and EG, especially the effects of FDI on EG, from 1994 up to 2012. The results show that the main finding of the FDI-EG relation is significantly positive, but in some cases it is negative or even null. And within the relation, there exist several influencing factors such as the adequate levels of human capital, the well-developed financial markets, the complementarity between domestic and foreign investment and the open trade regimes, etc.

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Publication Date
Mon Nov 29 2021
Journal Name
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A Comprehensive Case Study of a Frontal Mineral Dust Storm in spring over Iraq
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Mon Mar 15 2021
Journal Name
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Limitations on the authority of a judge in case-law ( France as a model )
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Sun Jan 27 2019
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Publication Date
Wed Nov 23 2022
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iaor.net - Common Errors in Panoramic Radiographs: A review
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Sun May 01 2016
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Sun Sep 03 2023
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A review on various methods for dehazing images
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