Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
Vol. 10, No. 3, 2006, pp. 187-190
Bioline Code: cm06025
Full paper language: English
Document type: Research Article
Document available free of charge
Indian Journal of Critical Care Medicine, Vol. 10, No. 3, 2006, pp. 187-190
© Copyright 2006 Indian Journal of Critical Care Medicine.
Spinal cord injury without radiographic abnormality|
Singh AnilP, Bharati Saswata, Ahmed Shehbaz, Mishra Laldhar, Singh DineshK
Spinal cord injury without radiological abnormality is rare in adults. Below we present a case report of 20 yrs old male with isolated cervical cord injury, without accompanying vertebral dislocation or fracture involving the spinal canal rim. He fell down on plain and smooth ground while carrying 40 kg weight overhead and developed quadriparesis with difficulty in respiration. Plain radiographs of the neck revealed no fractures or dislocations. MRI showed bulky spinal cord and an abnormal hyper intense signal on the T2W image from C2 vertebral body level to C3/4 intervertebral disc level predominantly in the anterior aspect of the cord The patient was managed conservatively with head halter traction and invasive ventilatory support for the initial 7 days period in the ICU. In our patient recovery was good and most of the neurological deficit improved over 4 weeks with conservative management.
Spinal cord injury without radiological abnormality, spinal cord concussion
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