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Complete Paraplegia Resulting from Surfer's Myelopathy.
MedLine Citation:
PMID:  22257974     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: Three patients with diagnoses of surfer's myelopathy (24-31 yrs old; two men, one woman) were admitted to our rehabilitation hospital. All three patients were novice surfers and had a typical clinical course of onset: rapid progression of paraplegia after back pain while taking surfing lessons. Despite months of rehabilitation at our hospital, in all three patients, complete paraplegia (T9-T12) and bladder-bowel dysfunction remained. Our case profiles suggest that the neurologic outcome of surfer's myelopathy is potentially catastrophic, as has been suggested in previous reports. Surfer's myelopathy has been estimated to be an ischemic thoracic myelopathy. From our case profiles and review of the literature, not only the prolonged prone hyperextended posture of paddling but also the repetitive mechanical stress caused by flexion-extension of the spinal column may be related to its pathogenesis. To prevent surfer's myelopathy and to avoid progressive deterioration of neurologic function, increased education and awareness are essential.
Authors:
Tomokazu Takakura; Osamu Yokoyama; Fujiko Sakuma; Ryousuke Itoh; Ray R Romero
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-17
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  -     ISSN:  1537-7385     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Department of Rehabilitation Medicine, Yokohama City University Hospital, Kanagawa, Japan (TT); Department of Rehabilitation Medicine, Kanagawa Rehabilitation Hospital, Kanagawa, Japan (TT, OY, FS, RI); and Department of Medicine, Division of Neurology, John A. Burns School of Medicine, University of Hawaii, Honolulu (RRR).
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