Acute Central Cervical Spinal Cord Syndrome Caused by Missile Injury

Abstract
The authors present the second reported case of acute central cervical spinal cord syndrome caused by a missile injury. A low caliber, low velocity bullet penetrated the spinal cord posteroanteriorly at C-2, C-3 in the midline, producing quadriplegia and respiratory failure. Within 3 months the patient was ambulatory. Because such a good outcome is possible, patients with similar injuries should be supported vigorously. Injury to the central cervical spinal cord seems to produce a constant syndrome irrespective of the specific nature of the primary injury. The literature on this syndrome is briefly reviewed.

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