Stingray injuries are rare, mostly causing injuries to the lower extremities but occasionally fatal if there is direct puncture of the thorax, abdomen, or neck. Direct combined stingray injury to the central nervous system has not been reported in the literature. Herein we present the case of a 12-year-old boy who, while wading at the seashore of the Costa Rica's Pacific Ocean, sustained a combined oblique penetrating injury to the C6 vertebra caused by a Stingray. He initially presented to the hospital with a complete asymmetric right C6/left T1 ASIA A examination, priapism, and loss of anal sphincter tone. Imaging revealed fracture of the posterior elements of C6 with an oblique trajectory into the left radicular foramen. T2W images did not reveal anatomical section but rather edema and minor bleeding in the epidural space. The patient underwent medical management and serial imaging. During the next 3 months, there was recovery of sensation on the right hemi body, bilateral paresthesias and asymmetric progressive improvement in strength on both legs. Acute care management and midterm term follow up are provided, along with a review of the literature for salient management considerations when evaluating and treating combined penetrating and envenomation injuries caused by stingrays. To our knowledge, this is the first report of such injury to the spine.

中文翻译：

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黄貂鱼矛对小儿脊髓的伤害：病例报告和文献复习。

黄貂鱼的伤害很少见，主要造成下肢的伤害，但如果直接刺穿胸部，腹部或颈部，有时会致命。黄貂鱼对中枢神经系统的直接联合伤害尚未在文献中报道。在此，我们介绍了一个12岁男孩的案例，该男孩在哥斯达黎加太平洋的海边涉水时，受到了黄貂鱼对C6椎骨的综合斜刺伤害。最初，他以完全不对称的右C6 /左T1 ASIA A呈送医院，检查，阴茎异常勃勃和肛门括约肌张力消失。影像学检查显示C6的后部元素断裂，并向左心根小孔倾斜。T2W图像未显示解剖切片，而是硬膜外腔水肿和少量出血。患者接受了医疗管理和连续成像。在接下来的三个月中，右半身感觉恢复，双侧感觉异常，双腿力量不对称进行性改善。提供了急性护理管理和中期随访，同时还对文献进行了综述，以评估和治疗由黄貂鱼引起的穿透性和毒化性合并损伤时的显着管理注意事项。据我们所知，这是这种脊椎受伤的首次报道。以及有关评估和治疗由黄貂鱼引起的穿透性和毒化性损伤的综合管理考虑因素的文献综述。据我们所知，这是这种脊椎受伤的首次报道。以及有关评估和治疗由黄貂鱼引起的穿透性和毒化性损伤的综合管理考虑因素的文献综述。据我们所知，这是这种脊椎受伤的首次报道。