Document Detail


SCIWORA-Spinal Cord Injury Without Radiological Abnormality.
MedLine Citation:
PMID:  17006044     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Veena Kalra; Sheffali Gulati; Mahesh Kamate; Ajay Garg
Related Documents :
7355214 - Soft-tissue anatomy within the spinal canal as seen on computed tomography.
4040644 - Tumors and arteriovenous malformations of the spinal cord: assessment using mr.
21046314 - A rare case of a simultaneously detected suprasellar and intramedullary spinal cord ger...
17680014 - Serial magnetic resonance imaging correlates with neurological outcome in an experiment...
18431164 - Hashimoto thyroiditis and takayasu aortitis: visualization of the thyroid gland and rin...
11455044 - The use of statistical parametric mapping (spm96) as a decision aid in the differential...
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    
Affiliation:
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. kalra_veena@hotmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Child, Preschool
Humans
Male
Paraplegia / etiology*,  therapy
Physical Therapy Modalities
Spinal Cord Injuries / complications*,  etiology,  radiography*
Tomography, X-Ray Computed
Urinary Bladder, Neurogenic / etiology*,  rehabilitation
Urinary Catheterization / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Biliary atresia: outcome and management.
Next Document:  Congenital cystic adenomatoid malformation associated with ipsilateral eventration of the diaphragm.