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Spinal cord injury without radiological abnormality in an infant with delayed presentation of symptoms after a minor injury.

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dc.contributor.authorKim, SH-
dc.contributor.authorYoon, SH-
dc.contributor.authorCho, KH-
dc.date.accessioned2010-12-29T04:37:11Z-
dc.date.available2010-12-29T04:37:11Z-
dc.date.issued2008-
dc.identifier.issn0362-2436-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/894-
dc.description.abstractSTUDY DESIGN: We present a very rare case of an infant with delayed presentation of spinal cord injury without radiologic abnormality (SCIWORA) after a minor injury.



OBJECTIVE: To emphasize the importance of spinal evaluation with MRI in selected cases, even after minor injuries, especially in infants.



SUMMARY OF BACKGROUND DATA: SCIWORA arises mainly in infants and children during accidental trauma or after sport injury. However, it has been very rare for a 6-day-delayed infant SCIWORA after a minor injury.



METHODS: An infant presented with transient nausea and vomiting after falling from a baby-rocking horse of less than 30-cm height. The patient demonstrated right hemiparesis 6 days later. Plain cervical radiographs and brain and cervical spine computed tomograms (CT) were normal, but the cervical magnetic resonance imaging (MRI) demonstrated a high signal in the T2-weighted image of the lower cervical cord, and a neck collar was applied.



RESULTS: A follow-up cervical MRI 1 month later showed that the high signal of the lower cervical cord had disappeared. Another follow-up cervical MRI 12 months later also showed normal radiographic findings but there still remained mild weakness of the right lower extremities.



CONCLUSION: The authors present a rare case of infant SCIWORA who developed delayed neurologic symptoms 6 days after a minor injury and suggest that spinal evaluation with MRI could be warranted in the selected case even after minor injuries, especially in infants.
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dc.language.isoen-
dc.subject.MESHAccidental Falls-
dc.subject.MESHCervical Vertebrae-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHSpinal Cord Injuries-
dc.subject.MESHTime Factors-
dc.titleSpinal cord injury without radiological abnormality in an infant with delayed presentation of symptoms after a minor injury.-
dc.typeArticle-
dc.identifier.pmid18827684-
dc.identifier.urlhttp://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=0362-2436&volume=33&issue=21&spage=E792-
dc.contributor.affiliatedAuthor김, 상현-
dc.contributor.affiliatedAuthor윤, 수한-
dc.contributor.affiliatedAuthor조, 기홍-
dc.type.localJournal Papers-
dc.identifier.doi10.1097/BRS.0b013e3181878719-
dc.citation.titleSpine-
dc.citation.volume33-
dc.citation.number21-
dc.citation.date2008-
dc.citation.startPageE792-
dc.citation.endPageE794-
dc.identifier.bibliographicCitationSpine, 33(21). : E792-E794, 2008-
dc.identifier.eissn1528-1159-
dc.relation.journalidJ003622436-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
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