{Reference Type}: Case Reports
{Title}: Surgical management of transcervical gunshot injury presented with CSF leak and progressive left upper extremity paresis: a case report and literature review.
{Author}: Bagherzadeh S;Roohollahi F;Shafizadeh M;Jangholi E;Rabiee S;Rostami M;Jouibari MF;Jafari M;
{Journal}: Childs Nerv Syst
{Volume}: 40
{Issue}: 9
{Year}: 2024 Sep 13
{Factor}: 1.532
{DOI}: 10.1007/s00381-024-06485-7
{Abstract}: <B>BACKGROUND: </B>Penetrating neck trauma (PNT) due to gunshot injuries is one of the challenging conditions with the potential for both significant morbidities and mortality.<BR><B>OBJECTIVE: </B>There are significant concerns in the approach to patients with spinal gunshot injuries. Surgery indications, methods of surgery, and management of CSF leaks are the main concerns of these patients.<BR><B>METHODS: </B>An 11-year-old boy was referred to our center with a single gunshot wound to the left side of the posterior cervical region 2 days ago with cerebrospinal fluid leakage and left arm weakness.<BR><B>RESULTS: </B>The patient underwent surgery, and the pellet was removed. His left arm weakness fully recovered after the operation, and no new symptoms developed during the 1-year follow-up.<BR><B>CONCLUSIONS: </B>Timely surgery could dramatically improve outcomes in PNT patients with mild symptoms and prevent worsening neurological defects.