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Case Reports
. 2002 May;18(5):241-3.
doi: 10.1007/s00381-002-0560-9. Epub 2002 Mar 6.

A case of pediatric thoracic SCIWORA following minor trauma

Satoshi Yamaguchi  1 , Kazutoshi Hida, Minoru Akino, Shunsuke Yano, Hisatoshi Saito, Yoshinobu Iwasaki
Affiliations
Case Reports

A case of pediatric thoracic SCIWORA following minor trauma

Satoshi Yamaguchi et al. Childs Nerv Syst. 2002 May.

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.

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