Abstract
Spinal cord injury without vertebral abnormalities (SCIWORA) accompanying radiography and tomography is common in the pediatric population. However, very few cases have been reported so far in adults and it is a very rare condition. Magnetic resonance imaging (MRI) has become a preferred investigation for the diagnosis of SCIWORA with its increased availability and utilization in recent years. Here we report a case of adult SCIWORA involving cervical spinal cord, characterized by focal neurologic features.
Keywords
References
- Doğan NÖ, Akıncı E, Gümüş H, Akıllı NB, Aksel G. Predictors of Inhospital Mortality in Geriatric Patients Presenting to the Emergency Department With Ischemic Stroke. Clin Appl Thromb Hemost. 2016;22(3):280-4. doi: 10.1177/1076029614550820.
- Miyanji F, Furlan JC, Aarabi B, Arnold PM, Fehlings MG. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcome--prospective study with 100 consecutive patients. Radiology. 2007;243(3):820-7. doi: 10.1148/radiol.2433060583.
- Khan AA, Mahmood S, Saif T, Gul A. Spinal cord injury without radiographic abnormality (SCIWORA) in adults: A report of two cases. J Pak Med Assoc. 2017;67(8):1275-1277.
- Bonfanti L, Donelli V, Lunian M, Cerasti D, Cobianchi F, Cervellin G. Adult Spinal Cord Injury Without Radiographic Abnormality (SCIWORA). Two case reports and a narrative review. Acta Biomed. 2019;89(4):593-598. doi: 10.23750/abm.v89i4.7532.
- Machino M, Ando K, Kobayashi K, Ota K, Morozumi M, Tanaka S, et al. MR T2 image classification in adult patients of cervical spinal cord injury without radiographic abnormality: A predictor of surgical outcome. Clin Neurol Neurosurg. 2019;177:1-5. doi: 10.1016/j.clineuro.2018.12.010.
- Pang D, Wilberger JE Jr. Spinal cord injury without radiographic abnormalities in children. J Neurosurg. 1982;57(1):114-29. doi: 10.3171/jns.1982.57.1.0114.
- Tewari MK, Gifti DS, Singh P, Khosla VK, Mathuriya SN, Gupta SK, et al. Diagnosis and prognostication of adult spinal cord injury without radiographic abnormality using magnetic resonance imaging: analysis of 40 patients. Surg Neurol. 2005;63(3):204-9. doi: 10.1016/j.surneu.2004.05.042.
- Asan Z. Spinal Concussion in Adults: Transient Neuropraxia of Spinal Cord Exposed to Vertical Forces. World Neurosurg. 2018;114:1284-1289. doi: 10.1016/j.wneu.2018.03.198.
- Kumar R, Lim J, Mekary RA, Rattani A, Dewan MC, Sharif SY, et al. Traumatic Spinal Injury: Global Epidemiology and Worldwide Volume. World Neurosurg. 2018;113:345-363. doi: 10.1016/j.wneu.2018.02.033.
Abstract
Radyografi veya tomografide vertebral bir patoloji olmaksızın görülen omurilik yaralanması (SCIWORA) pediatrik popülasyonda yaygındır. Ancak yetişkinlerde şimdiye kadar çok az vaka bildirilmiştir ve çok nadir görülen bir durumdur. Manyetik rezonans görüntüleme (MRG), son yıllarda artan kullanılabilirliği ve kullanımı ile SCIWORA tanısı için tercih edilen bir inceleme haline gelmiştir. Burada servikal omuriliği tutan ve fokal nörolojik özelliklerle karakterize bir erişkin SCIWORA olgusu sunulmaktadır.
Keywords
References
- Doğan NÖ, Akıncı E, Gümüş H, Akıllı NB, Aksel G. Predictors of Inhospital Mortality in Geriatric Patients Presenting to the Emergency Department With Ischemic Stroke. Clin Appl Thromb Hemost. 2016;22(3):280-4. doi: 10.1177/1076029614550820.
- Miyanji F, Furlan JC, Aarabi B, Arnold PM, Fehlings MG. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcome--prospective study with 100 consecutive patients. Radiology. 2007;243(3):820-7. doi: 10.1148/radiol.2433060583.
- Khan AA, Mahmood S, Saif T, Gul A. Spinal cord injury without radiographic abnormality (SCIWORA) in adults: A report of two cases. J Pak Med Assoc. 2017;67(8):1275-1277.
- Bonfanti L, Donelli V, Lunian M, Cerasti D, Cobianchi F, Cervellin G. Adult Spinal Cord Injury Without Radiographic Abnormality (SCIWORA). Two case reports and a narrative review. Acta Biomed. 2019;89(4):593-598. doi: 10.23750/abm.v89i4.7532.
- Machino M, Ando K, Kobayashi K, Ota K, Morozumi M, Tanaka S, et al. MR T2 image classification in adult patients of cervical spinal cord injury without radiographic abnormality: A predictor of surgical outcome. Clin Neurol Neurosurg. 2019;177:1-5. doi: 10.1016/j.clineuro.2018.12.010.
- Pang D, Wilberger JE Jr. Spinal cord injury without radiographic abnormalities in children. J Neurosurg. 1982;57(1):114-29. doi: 10.3171/jns.1982.57.1.0114.
- Tewari MK, Gifti DS, Singh P, Khosla VK, Mathuriya SN, Gupta SK, et al. Diagnosis and prognostication of adult spinal cord injury without radiographic abnormality using magnetic resonance imaging: analysis of 40 patients. Surg Neurol. 2005;63(3):204-9. doi: 10.1016/j.surneu.2004.05.042.
- Asan Z. Spinal Concussion in Adults: Transient Neuropraxia of Spinal Cord Exposed to Vertical Forces. World Neurosurg. 2018;114:1284-1289. doi: 10.1016/j.wneu.2018.03.198.
- Kumar R, Lim J, Mekary RA, Rattani A, Dewan MC, Sharif SY, et al. Traumatic Spinal Injury: Global Epidemiology and Worldwide Volume. World Neurosurg. 2018;113:345-363. doi: 10.1016/j.wneu.2018.02.033.
Details
| Primary Language | English |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | Case Reports |
| Authors | |
| Early Pub Date | October 24, 2023 |
| Publication Date | November 1, 2023 |
| Submission Date | August 31, 2023 |
| Acceptance Date | October 10, 2023 |
| Published in Issue | Year 2023 Volume: 5 Issue: 3 |
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