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Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report

Spinal Cord Injury without Radiographic Abnormality (SCIWORA) is an unprecedented event to occur in adults but may lead to serious complications including permanent neurological impairments and death. In this article, we report a case of a 60-year-old male presenting to the emergency for a head and...

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Autores principales: Hana, Hedhli, Gnena, Hedia, Safia, Othmani, Rym, Ben Kaddour, Jendoubi, Asma, Aymen, Zoubli, Ouni, Fares, Jouini, Sarra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589410/
https://www.ncbi.nlm.nih.gov/pubmed/37869233
http://dx.doi.org/10.11604/pamj.2023.45.160.23467
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author Hana, Hedhli
Gnena, Hedia
Safia, Othmani
Rym, Ben Kaddour
Jendoubi, Asma
Aymen, Zoubli
Ouni, Fares
Jouini, Sarra
author_facet Hana, Hedhli
Gnena, Hedia
Safia, Othmani
Rym, Ben Kaddour
Jendoubi, Asma
Aymen, Zoubli
Ouni, Fares
Jouini, Sarra
author_sort Hana, Hedhli
collection PubMed
description Spinal Cord Injury without Radiographic Abnormality (SCIWORA) is an unprecedented event to occur in adults but may lead to serious complications including permanent neurological impairments and death. In this article, we report a case of a 60-year-old male presenting to the emergency for a head and neck trauma after a motorbike accident, who reported only a neck ache and a normal primary neurological exam. The evolution was marked by the occurrence of paraplegia with a diminished sphincter tone and hypoesthesia beneath the T12 dermatome level after six hours, confirmed by the Magnetic Resonance Imaging (MRI). He underwent a deferred laminectomy within 30 days after receiving methylprednisolone, with partial neurological improvement after two months. An early recognition of the diagnosis was challenge for the emergency physician, given the wide variability of clinical presentations. Magnetic resonance imaging (MRI) is a key examination to guide the diagnosis and the management of these patients.
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spelling pubmed-105894102023-10-22 Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report Hana, Hedhli Gnena, Hedia Safia, Othmani Rym, Ben Kaddour Jendoubi, Asma Aymen, Zoubli Ouni, Fares Jouini, Sarra Pan Afr Med J Case Report Spinal Cord Injury without Radiographic Abnormality (SCIWORA) is an unprecedented event to occur in adults but may lead to serious complications including permanent neurological impairments and death. In this article, we report a case of a 60-year-old male presenting to the emergency for a head and neck trauma after a motorbike accident, who reported only a neck ache and a normal primary neurological exam. The evolution was marked by the occurrence of paraplegia with a diminished sphincter tone and hypoesthesia beneath the T12 dermatome level after six hours, confirmed by the Magnetic Resonance Imaging (MRI). He underwent a deferred laminectomy within 30 days after receiving methylprednisolone, with partial neurological improvement after two months. An early recognition of the diagnosis was challenge for the emergency physician, given the wide variability of clinical presentations. Magnetic resonance imaging (MRI) is a key examination to guide the diagnosis and the management of these patients. The African Field Epidemiology Network 2023-08-15 /pmc/articles/PMC10589410/ /pubmed/37869233 http://dx.doi.org/10.11604/pamj.2023.45.160.23467 Text en Copyright: Hedhli Hana et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hana, Hedhli
Gnena, Hedia
Safia, Othmani
Rym, Ben Kaddour
Jendoubi, Asma
Aymen, Zoubli
Ouni, Fares
Jouini, Sarra
Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report
title Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report
title_full Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report
title_fullStr Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report
title_full_unstemmed Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report
title_short Delayed presentation of spinal cord injury without radiographic abnormality (SCIWORA): a case report
title_sort delayed presentation of spinal cord injury without radiographic abnormality (sciwora): a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589410/
https://www.ncbi.nlm.nih.gov/pubmed/37869233
http://dx.doi.org/10.11604/pamj.2023.45.160.23467
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