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  • Title: A case of pediatric thoracic SCIWORA following minor trauma.
    Author: Yamaguchi S, Hida K, Akino M, Yano S, Saito H, Iwasaki Y.
    Journal: Childs Nerv Syst; 2002 May; 18(5):241-3. PubMed ID: 12042925.
    Abstract:
    CASE REPORT: A case of spinal cord injury without radiological abnormality (SCIWORA) at the thoracic level is reported. A 14-year-old girl fell backwards from a low chair and hit her back on the floor. It left her bent forward markedly. After taking a nap, she found herself unable to walk. Neurological examination revealed flaccid paraparesis, hypalgesia below the L-1 level, and bladder and bowel dysfunction. MR imaging revealed marked edema in the thoracic spinal cord. RESULTS AND CONCLUSION: The patient was treated conservatively and showed gradual improvement in her symptoms, finally becoming independently ambulant. The spinal cord edema was less pronounced on the follow-up MR imaging. The clinical course and findings of MR imaging in this case demonstrated mid-thoracic SCIWORA caused by hyperflexion of the thoracic spine.
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