A toxic shot from the hip. Issue 3 (2nd July 2010)

• Record Type: Journal Article
• Authors: Oomen, Judith W P M; Smits, Bart W; Swinkels, Dorine W; Schreurs, Berend W; Bloem, Bastiaan R; Hendriks, Mathijs P
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 82:Issue 3(2011)
• Page Start: 353
• Page End: 354
• Publication Date: 2010-07-02
• Subjects: Tremor -- gait disorders/ataxia -- basal ganglia -- other toxicology -- lead encephalopathy -- cerebellar ataxia -- gait -- movement disorders -- toxicology; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.2009.191312
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : A 26-year-old man developed a movement disorder characterised by bradyphrenia, bradykinesia, rigidity, tremor and dystonia, several years after having been shot by a gun in the hip. Laboratory investigations revealed anaemia and porphyria. The authors demonstrate that his neurological condition was a delayed manifestation of lead toxicity, caused by slow absorption of lead from persisting bullet fragments in the hip joint. Treatment with excision of the femoral head and debridement of the hip followed by a total hip, in combination with chelating therapy, led to a remarkable remission.