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Delayed Onset of Thoracic SCIWORA in Adults.
MedLine Citation:
PMID:  23342323     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Spinal cord injury (SCI) without radiographic abnormality (SCIWORA) is estimated to account for 1-9% of the occurrence of SCI. Of these, cervical SCIWORA in children is common, but thoracic SCIWORA delayed onset in adult is much less common. We experienced a case of 38-years old male patient with lower extremity weakness; he had fallen down a week earlier before the investigation. At the time of admission, motor grade was 4 with voiding incontinence and ambulated with cane. He presented progressive weakness from G4 to G3 and hypoesthesia was below T8 dermatome and ambulated with wheelchair. Whole spine and lumbar MRI findings showed no abnormality and electrodiagnostic findings showed normal NCS, however, abnormal SEP on both the tibial nerves. After steroid therapy and proper rehabilitation program for 2 weeks, lower extremity strength was improved from G4 to G3, voiding was continent, and ambulation reached cane gait.
Authors:
Man-Choon Park; Soo-Kyung Bok; Soo-Jin Lee; Dong-Heun Ahn; Young-Jin Lee
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Publication Detail:
Type:  Journal Article     Date:  2012-12-28
Journal Detail:
Title:  Annals of rehabilitation medicine     Volume:  36     ISSN:  2234-0645     ISO Abbreviation:  Ann Rehabil Med     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-01-23     Completed Date:  2013-01-24     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101573065     Medline TA:  Ann Rehabil Med     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  871-5     Citation Subset:  -    
Affiliation:
Department of Physical Medicine and Rehabilitation, Konyang University College of Medicine, Daejeon 371-718, Korea.
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