Herida penetrante raquimedular por arma blanca: a propósito de dos casos

Abstract

We described two cases operated by the author: 1° a 30-year-old patient who suffered an aggression by third parties with a sharp weapon, with a penetrating injury of the cervical spine and spinal cord at the level of C2-C3, who entered to the hospital tetraplegic, conscious, with a left Claude Bernard Horner syndrome, with mild respiratory compromise. 2° a 20-year-old patient who suffered aggression by third parties with a knife, with spinal and spinal cord penetration at the dorsal level, who entered to the hospital with left distal motor compromise in L5-S1 and bilateral distal hypoesthesia. Both were emergency operated to remove the foreign element, verifying during surgery that this was transfixing the spinal cord at the levels described. Postoperative, both patients evolved with partial recovery of their neurological involvement, the first being discharged with a left hemiplegia and the second discharged only with an area of distal hypoesthesia in the left leg.