Document Detail

SCIWORA-Spinal Cord Injury Without Radiological Abnormality.
MedLine Citation:
PMID:  17006044     Owner:  NLM     Status:  MEDLINE    
Following trauma, the commonly used radiological investigations, plain radiographs and computed tomography (CT) studies do not rule out injury to the spinal cord. This is especially true for children, as an entity known by the acronym SCIWORA (spinal cord injury without radiological abnormality) exists and the changes may be picked up only on magnetic resonance imaging (MRI). Early treatment (within 6 hours) with high dose methylprednisolone improves the outcome. Spinal trauma being common it is possible that the burden of neurological handicap following this can be reduced by increasing awareness and early treatment with steroids. In the community, pediatricians are often the first medical contact after spinal trauma and awareness of the lacune of conventional imaging techniques is important especially if clinical symptoms pertaining to the spine are present. The community pediatrician is hereby made aware of the need to investigate spinal trauma with a MRI for possible SCIWORA situation as it generates a possibility for therapeutic intervention to alter the outcome positively.
Veena Kalra; Sheffali Gulati; Mahesh Kamate; Ajay Garg
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  73     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-28     Completed Date:  2006-10-12     Revised Date:  2009-07-15    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  829-31     Citation Subset:  IM    
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Accidental Falls
Child, Preschool
Paraplegia / etiology*,  therapy
Physical Therapy Modalities
Spinal Cord Injuries / complications*,  etiology,  radiography*
Tomography, X-Ray Computed
Urinary Bladder, Neurogenic / etiology*,  rehabilitation
Urinary Catheterization / methods

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