A severe case of high cervical spinal cord injury without radiographic abnormality.
نویسندگان
چکیده
The hypermobility of the pediatric bony cervical spine allows deformation of the musculoskeletal structures beyond physiologic extremes, permitting direct trauma or ischemic injury of the spinal cord followed by spontaneous reduction of the bony spine. This predisposes to a spinal cord injury without radiological abnormality (SCIWORA) [1] . SCIWORA has positive neurologic Received: August 5, 2009 Accepted: August 8, 2009 Published online: March 4, 2010
منابع مشابه
Spinal cord injury without radiological abnormality (SCIWORA). A diagnosis that is missed in unconscious children.
Spinal cord injury without radiographic abnormality (SCIWORA) usually occurs in the hypermobile, immature cervical spine of young children. In a comatose child, a normal spine x-ray, and CT scan exclude most cases of gross fracture and dislocation, but not SCIWORA. We present 2 children that sustained a polytrauma, which rendered each of them unconscious at the outset. In both, cervical spine x...
متن کاملSpinal cord injury without radiographic abnormality: results of the National Emergency X-Radiography Utilization Study in blunt cervical trauma.
BACKGROUND The purpose of this study was to better define the incidence and characteristics of patients with spinal cord injury without radiographic abnormality (SCIWORA), using the database of the National Emergency X-Radiography Utilization Study (NEXUS). METHODS This was a prospective, observational study of blunt trauma patients in 21 U.S. medical centers undergoing plain cervical radiogr...
متن کاملBifocal Spinal Cord Injury without Radiographic Abnormalities in a 5-Year Old Boy: A Case Report
We present the extremely unusual case of a 5-year-old boy with a bifocal (cervical as well as lumbar) spinal cord injury without radiographic abnormalities (SCIWORAs). The MRI showed cord oedema at the level of C2 and T10. We propose that during the motor vehicle crash severe propulsion of the head with a flexed lumbar region resulted in a traction injury to the lower thoracic and lumbar spine ...
متن کاملSpinal Cord Injury without Radiographic Abnormality (SCIWORA) – Clinical and Radiological Aspects
The acronym SCIWORA (Spinal Cord Injury Without Radiographic Abnormality) was first developed and introduced by Pang and Wilberger who used it to define "clinical symptoms of traumatic myelopathy with no radiographic or computed tomographic features of spinal fracture or instability". SCIWORA is a clinical-radiological condition that mostly affects children. SCIWORA lesions are found mainly in ...
متن کاملUse of Fidji Cervical Cage in the Treatment of Cervical Spinal Cord Injury without Radiographic Abnormality
Spinal cord injury without radiographic abnormality (SCIWORA) is a rare condition seen in adults. Many interbody fusion cages have been developed for its treatment, but clinical studies of Fidji cervical cage are still scarce. A total number of five patients (four male and one female) were reviewed. The ages of the patients ranged from 40 to 60 years. All the patients underwent neurological and...
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ورودعنوان ژورنال:
- European neurology
دوره 63 3 شماره
صفحات -
تاریخ انتشار 2010