| A Case of Spinal Cord Injury without Radiographic Abnormality |
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Seoung Joon Kim1, Dae Kyun Koh1, Jin Hee Oh1, Jong Hyun Kim1, Jung Soo Jun2 |
1Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea |
| 방사선학적 이상소견 없이 발생한 흉추 척수 손상 1례 |
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김성준1, 고대균1, 오진희1, 김종현1, 전정수2 |
1가톨릭대학교 의과대학 소아과학교실
2가톨릭대학교 의과대학 방사선학과교실 |
Correspondence:
Dae Kyun Koh, Email: kdk@hanmail.net
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| Abstract |
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A spinal cord injury without radiographic abnormality(SCIWORA) was defined by Pang and Wilberger in 1982 as the "objective signs of myelopathy as a result of trauma" in which no evidence of fracture, subluxation, or instability on plain radiographs, or computed tomography is demonstrable. Inherent elasticity of the vertebral column in infants and young children, among other age-related anatomical peculiarities, render the pediatric bony cervical and thoracic spine exceedingly vulnerable to deforming forces. We report here on a case of SCIWORA in a 3-year-old girl who presented with lower extremity paralysis, paresthesia, and voiding difficulty. The mechanism of neural damage in this case was purely longitudinal distraction. Such stress on the spine resulted from severe pulling up the lower extremity by her father, which was not thought to be damaging at that time. |
| Key Words:
Spinal cord injury, Neurologic damage, Children, SCIWORA |
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