Spinal Cord Injury Without Radiological Abnormality in Adult Thoracic Spinal Trauma
نویسندگان
چکیده
INTRODUCTION Spinal cord injury without radiological abnormality (SCIWORA) is a rare entity and usually involves the cervical spine. Thoracic spine involvement is very rare due to the stability provided by the rib cage. The mechanisms of injury and pathophysiology are still debatable. CASE PRESENTATION We present a case of an adult male who had road traffic accident and presented with paraplegia. The initial radiological investigations carried out in the emergency department were reported to be normal, however, subsequent magnetic resonance imaging revealed spinal cord contusion without vertebral column disruption. The patient recovered partially with conservative treatment measures including bed rest and methylprednisolone. CONCLUSIONS Spinal trauma patients presenting with neurological deficit but no radiological abnormality should be treated as a case of SCIWORA.
منابع مشابه
Injury to the spinal cord without radiological abnormality (SCIWORA) in adults.
Injury to the spinal cord without radiological abnormality often occurs in the skeletally immature cervical and thoracic spine. We describe four adult patients with this diagnosis involving the cervical spine with resultant quadriparesis. The relevant literature is reviewed. The implications for initial management of the injury, the role of MRI and the need for a high index of suspicion are hig...
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