[A case of surfer's myelopathy with serial imaging examination from early stage after onset]
Autor: | Kei Shinohara, Naoki Sakai, Tadahisa Kanemoto, Akiyuki Takenouchi, Yoji Suzuki, Shota Igasaki |
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Rok vydání: | 2020 |
Předmět: |
Glycerol
medicine.medical_specialty Time Factors Adolescent Methylprednisolone Spinal Cord Diseases Lesion 03 medical and health sciences Myelopathy 0302 clinical medicine Edaravone medicine Humans Infusions Intravenous Spinal cord injury Spinal Cord Injuries Water Sports Paraplegia Groin business.industry Urinary Bladder Diseases medicine.disease Hyperintensity Conus medullaris medicine.anatomical_structure Surfer's myelopathy Diffusion Tensor Imaging Rectal Diseases Treatment Outcome Athletic Injuries Female Neurology (clinical) Radiology medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Rinsho shinkeigaku = Clinical neurology. 60(11) |
ISSN: | 1882-0654 |
Popis: | Surfer's myelopathy is non-traumatic spinal cord injury which develops in beginner surfers. The patient was a 17-year-old female who developed severe paraplegia with bilateral sensory dysfunction below the groin and bladder/rectal dysfunctions after her first surfing lesson. A spinal-cord MRI performed six hours after onset revealed an intramedullary hyperintensity area from T8 to the conus medullaris on the T2 weighted images. Expansion of this hyperintensity area was observed on Day 3 and showed a reduction on Day 8. After providing intravenous methylpredonisolone, intravenous glycerol and intravenous edaravone, motor function and bladder/rectal functions began to improve after approximately three weeks. In this study, the expansion of the lesion in the early stages of the disease course was observed by sequential spinal MRI. Furthermore, a time lag between improvement according to imaging and improvement in symptoms was also observed. |
Databáze: | OpenAIRE |
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