Document Detail


Transient traumatic quadriplegia in a 29-year-old man without predisposing anatomic lesion.
MedLine Citation:
PMID:  7487446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 29-year-old man presented 45 minutes after sustaining a blow to the right side of his head when his motorcycle slid on gravel and flipped on the side of the road. After walking away from the accident, the patient noted burning pain in his neck. Shortly thereafter, complete quadriplegia with a sensory level at C4 developed. The patient was given a high dose of methylprednisolone and transferred to a tertiary care center. En route, neurological testing demonstrated rapid improvement, and on arrival, all abnormal motor and sensory findings had completely resolved. Radiographic examination and magnetic resonance imaging of the entire spine showed no abnormality. Torg's ratio was > 1 at vertebral level C3 through C6. There was no evidence of developmental stenosis, congenital fusion, cervical instability, or intervertebral disk protrusion.
Authors:
R S Kaplan; K A Stolp-Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  76     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1995-12-07     Completed Date:  1995-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1006-10     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Acute Disease
Adult
Humans
Male
Methylprednisolone / therapeutic use
Motorcycles
Neuroprotective Agents / therapeutic use
Quadriplegia / drug therapy,  etiology,  physiopathology*
Spinal Cord Injuries / drug therapy,  etiology,  physiopathology
Spine / radiography
Chemical
Reg. No./Substance:
0/Neuroprotective Agents; 83-43-2/Methylprednisolone
Comments/Corrections
Comment In:
Arch Phys Med Rehabil. 1996 Mar;77(3):311-2   [PMID:  8600880 ]

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


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