Spinal cord ischaemic injury while playing in a playground
| Autor: | Carmen Costa, Joana de Brito Chagas, Candida Cancelinha, Rui Pedro Pais |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Acute flaccid paralysis
Neurological injury Adolescent Case Report 03 medical and health sciences 0302 clinical medicine Humans Paralysis Medicine Imaging diagnosis Child Spinal Cord Injuries Spinal Cord Ischemia business.industry General Medicine Emergency department Spinal cord Magnetic Resonance Imaging DORSAL PAIN medicine.anatomical_structure Spinal Cord 030220 oncology & carcinogenesis Spinal cord ischaemia Anesthesia Female Differential diagnosis business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2021-242155 |
| Popis: | Spinal cord ischaemia is a rare condition in children in which imaging diagnosis can be difficult and treatment guidelines are not well established. We describe a case of a previously healthy 13-year-old girl admitted to the emergency department with an acute flaccid paralysis of the lower limbs, abdominal and dorsal pain, and bladder dysfunction. A few hours earlier, she had been playing on a swing with hyperextension and an arched back position. Spinal cord MRI was normal in the first hours, but ischaemic signs were described in a second examination performed some hours later. We discuss the extensive investigation for differential diagnosis and the management of this case. |
| Databáze: | OpenAIRE |
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