A case of pediatric thoracic SCIWORA following minor trauma

Satoshi YAMAGUCHI; Kazutoshi HIDA; Minoru AKINO; Shunsuke YANO; Hisatoshi SAITO; Yoshinobu IWASAKI

doi:10.1007/s00381-002-0560-9

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A case of pediatric thoracic SCIWORA following minor trauma

Journal article

Peer reviewed

A case of pediatric thoracic SCIWORA following minor trauma

Satoshi YAMAGUCHI, Kazutoshi HIDA, Minoru AKINO, Shunsuke YANO, Hisatoshi SAITO and Yoshinobu IWASAKI

Child's nervous system, Vol.18(5), pp.241-243

2002

DOI: 10.1007/s00381-002-0560-9

PMID: 12042925

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Abstract

Case report: A case of spinal cord injury without radiological abnormality (SCIWORA) at the thoracic level is reported. A 14-year-old girl fell backwards from a low chair and hit her back on the floor. It left her bent forward markedly. After taking a nap, she found herself unable to walk. Neurological examination revealed flaccid paraparesis, hypalgesia below the L-1 level, and bladder and bowel dysfunction. MR imaging revealed marked edema in the thoracic spinal cord. Results and conclusion: The patient was treated conservatively and showed gradual improvement in her symptoms, finally becoming independently ambulant. The spinal cord edema was less pronounced on the follow-up MR imaging. The clinical course and findings of MR imaging in this case demonstrated mid-thoracic SCIWORA caused by hyperflexion of the thoracic spine.

Injuries of the nervous system and the skull. Diseases due to physical agents

Biological and medical sciences

Medical sciences

Traumas. Diseases due to physical agents

Details

Title: Subtitle: A case of pediatric thoracic SCIWORA following minor trauma
Creators: Satoshi YAMAGUCHI - Department of Neurosurgery, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8638, Japan
Kazutoshi HIDA - Department of Neurosurgery, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8638, Japan
Minoru AKINO - Department of Neurosurgery, Sapporo Azabu Neurosurgical Hospital, Sapporo, Japan
Shunsuke YANO - Department of Neurosurgery, Sapporo Azabu Neurosurgical Hospital, Sapporo, Japan
Hisatoshi SAITO - Department of Neurosurgery, Sapporo Azabu Neurosurgical Hospital, Sapporo, Japan
Yoshinobu IWASAKI - Department of Neurosurgery, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8638, Japan
Resource Type: Journal article
Publication Details: Child's nervous system, Vol.18(5), pp.241-243
Publisher: Springer; Berlin
DOI: 10.1007/s00381-002-0560-9
PMID: 12042925
ISSN: 0256-7040
eISSN: 1433-0350
Language: English
Date published: 2002
Academic Unit: Neurosurgery
Record Identifier: 9984040350202771

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