Rhabdomyolysis related acute renal failure developing in a patient with intradural cervical gunshot injury.
Abstract
Spinal injuries are frequent traumas
with high mortality and morbidity. Spinal gunshot injury-related rhabdomyolysis
is a condition which develops in approximately half of the patients.
Rhabdomyolysis results from rapid injury of the muscles and degradation
products. Amount of the degradation products is associated with the magnitude
and the severity of the muscle injury. Renal failure and even death may occur
when the amount of degradation products exceeds the renal clearance capacity.
Cervical region is the spinal region which is exposed to injury least and which
has the highest mortality. Rhabdomyolysis develops more frequently in cervical
region injuries due to the risk of plegia and paresis development in large
muscle groups. In this paper, we presented a patient who developed cervical
spinal gunshot injury-related rhabdomolysis and renal failure.
References
- 1. Waters RL, Sie IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res. 2003;408:120-5.
- 2. Galeiras R, Mourelo M, Pértega S, Lista A, Ferreiro ME, Salvador S et al. Rhabdomyolysis and acute kidney injury in patients with traumatic spinal cord injury. Indian J Crit Care Med. 2016; 20(9): 504–512.
- 3. Canpolat A, Karancı T, Akdemir AO, Duman H, Akbaş A, Özkuşçu B, et al. Lomber ateşli silah yaralanması sonucu gelişen izole nörojenik mesane. Jarem. 2013;3:41-3.
- 4. Beaty N, Slavin J, Diaz C, Zeleznick K, Ibrahimi D, Sansur CA. Cervical spine injury from gunshot wounds. J Neurosurg Spine. 2014;21:442–449.
- 5. Filho TEPB, Cristante AF, Marcon RM, Ono A, Bilhar R. Gunshot injuries in the spine. Spinal Cord. 2014;52: 504–510.
- 6. Kim HR, Oh HM, Choi ASY, Lee JI. Rhabdomyolysis in acute spinal cord ınjury presenting with nausea and vomiting as chief complaints: a case report. Ann Rehabil Med. 2014;38(4):559-562. 7. Vogel LC, Lubicky PJ. Lower extremity compartment syndrome ın an adolescent with spinal cord injury. The Journal of Spinal Cord Medicine. 2001;24(4):278-283.
- 8. Prall, J. Adair MD; Breeze, Robert E. MD. Rhabdomyolysis following Spinal Cord Injury: Case Report The Journal of Trauma: Injury, Infection, and Critical Care. 1995;39(4):802-804.
- 9. Khan FY. Rhabdomyolysis: A review of the literature. The Journal Of medicine. 2009;67(9):272-283.
- 10. Vazırı ND. Long-term haemodıalysıs ın spinal cord injured patients. Paraplegia. 1984;22:110-114.
- 11. Louwes TM, Ward WH, Lee KH, Freedman BA. Combat related intradural gunshot wound to the thoracic spine: significant improvement and neurologic recovery following bullet removal. Asian Spine J. 2015;9(1):127-32.
- 12. Salek M, Mannan M. Gunshot injury to the cervical spine with progressive neurological deterioration - a case report. The Internet Journal of Neurosurgery. 2012;8(1):1-4.
Abstract
Spinal yaralanmalar sık karşılaştığımız,
mortalite ve morbiditesi oldukça yüksek travmalardır. Spinal ateşli silah
yaralanması nedeniyle rabdomyolis bu vakaların yaklaşık yarısında
karşılaştığımız bir durumdur. Rabdomyolizis, vücuttaki kasların hızlı bir
şekilde hasar görmesi ve ortaya çıkan yıkım ürünleri dolayısı ile ortaya çıkan
tablodur. Ortaya çıkan yıkım ürünlerinin miktarı kaslardaki hasarın büyüklüğü
ve şiddeti ile ilişkilidir. Yıkım ürünleri böbreklerin temizleyebileceğinden
daha fazla olduğunda böbrek yetmezliği hatta ölüm gözlenebilir. Omurgada
Servikal bölge en az ateşli silah yaralanmasına maruz kalan ve mortalitesi en
yüksek spinal bölgedir. Servikal bölge yaralanmalarında çok miktarda kas
grubunda pleji ve parezi gelişme riski olduğundan, çok daha sıklıkla
rabdomyolizis gözlenmektedir. Bu yazıda servikal spinal ateşli silah
yaralanmasına bağlı rabdomyolizis ve böbrek yetmezliği gelişen bir olguyu
sunduk.
References
- 1. Waters RL, Sie IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res. 2003;408:120-5.
- 2. Galeiras R, Mourelo M, Pértega S, Lista A, Ferreiro ME, Salvador S et al. Rhabdomyolysis and acute kidney injury in patients with traumatic spinal cord injury. Indian J Crit Care Med. 2016; 20(9): 504–512.
- 3. Canpolat A, Karancı T, Akdemir AO, Duman H, Akbaş A, Özkuşçu B, et al. Lomber ateşli silah yaralanması sonucu gelişen izole nörojenik mesane. Jarem. 2013;3:41-3.
- 4. Beaty N, Slavin J, Diaz C, Zeleznick K, Ibrahimi D, Sansur CA. Cervical spine injury from gunshot wounds. J Neurosurg Spine. 2014;21:442–449.
- 5. Filho TEPB, Cristante AF, Marcon RM, Ono A, Bilhar R. Gunshot injuries in the spine. Spinal Cord. 2014;52: 504–510.
- 6. Kim HR, Oh HM, Choi ASY, Lee JI. Rhabdomyolysis in acute spinal cord ınjury presenting with nausea and vomiting as chief complaints: a case report. Ann Rehabil Med. 2014;38(4):559-562. 7. Vogel LC, Lubicky PJ. Lower extremity compartment syndrome ın an adolescent with spinal cord injury. The Journal of Spinal Cord Medicine. 2001;24(4):278-283.
- 8. Prall, J. Adair MD; Breeze, Robert E. MD. Rhabdomyolysis following Spinal Cord Injury: Case Report The Journal of Trauma: Injury, Infection, and Critical Care. 1995;39(4):802-804.
- 9. Khan FY. Rhabdomyolysis: A review of the literature. The Journal Of medicine. 2009;67(9):272-283.
- 10. Vazırı ND. Long-term haemodıalysıs ın spinal cord injured patients. Paraplegia. 1984;22:110-114.
- 11. Louwes TM, Ward WH, Lee KH, Freedman BA. Combat related intradural gunshot wound to the thoracic spine: significant improvement and neurologic recovery following bullet removal. Asian Spine J. 2015;9(1):127-32.
- 12. Salek M, Mannan M. Gunshot injury to the cervical spine with progressive neurological deterioration - a case report. The Internet Journal of Neurosurgery. 2012;8(1):1-4.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Surgery |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 12, 2018 |
| Submission Date | October 7, 2017 |
| Acceptance Date | January 18, 2018 |
| Published in Issue | Year 2018 Volume: 2 Issue: 1 |
This Journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.