Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report
Yıl: 2018 Cilt: 24 Sayı: 1 Sayfa Aralığı: 29 - 31 Metin Dili: İngilizce DOI: 10.4274/tod.81894 İndeks Tarihi: 20-12-2018
Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report
Öz: Spinal cord injury without radiologic abnormality (SCIWORA), which is not accompanied by radiographic abnormalities, implies literally a specifictype of spinal cord injury. In most cases, spinal cord injuries can be detected by magnetic resonance imaging (MRI). In this report, we presentan atypical case of tetraplegic spinal cord injury in an elderly woman with SCIWORA. A 73-year-old female tetraplegic patient underwentMRI, and no specific lesions were found in any segments of the spinal cord. Furthermore, the patient had paralysis and pathological reflexesat four extremities. Below the C7 dermatome level hypoesthesia was determined. A 6-week physical therapy and rehabilitation program wasperformed. After the program, it was observed that spasticity decreased, sitting balance increased and the patient could use wheel-chair.
Anahtar Kelime: Konular:
Yaşlı Bir Kadında Radyolojik Anormalliklerin Eşlik Etmediği Travmatik Tetrapleji: Olgu Sunumu
Öz: Radyografik anormalliklerin eşlik etmediği spinal kord yaralanması (SCIWORA) kelimenin tam anlamıyla spinal kord hasarının spesifik bir tipini belirtir. Çoğu olguda omurilik yaralanmaları manyetik rezonans görüntüleme (MRG) ile tespit edilebilir. Bu yazıda, SCIWORA’lı yaşlı bir kadında tetraplejik omurilik hasarının geliştiği atipik bir olgu sunulmaktadır. Yetmiş üç yaşındaki tetraplejik bir kadın hastadan MRG çekildi ve spinal kordun herhangi bir bölümünde spesifik bir lezyon bulunamadı. Öte yandan, hastanın dört ekstremitede paralizisi ve patolojik refleksleri mevcuttu. C7 dermatom seviyesinin altında hipoestezi tespit edildi. Altı haftalık bir fizik tedavi ve rehabilitasyon programı gerçekleştirildi. Program sonrasında, spastisitenin azaldığı, oturma dengesinin arttığı ve hasta tekerlekli sandalyeyi kullanabileceği gözlendi.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- Kamoto Y, Sadato N, Yonekura Y, Tsuchida T, Uematsu H, Waki A, et al. Visualization of the cervical spinal cord with FDG and high-resolution PET. J Comput Assist Tomogr 1998;22:487-91.
- Pang D. Spinal cord injury without radiographic abnormality in children, 2 decades later. Neurosurgery 2004;55:1325-42.
- Shen H, Tang Y, Huang L, Yang R, Wu Y, Wang P, et al. Applications of diffusion-weighted MRI in thoracic spinal cord injury without radiographic abnormality. Int Orthop 2007;31:375- 83.
- Buyukbebeci O, Bilge O, Karsli B, Kacira BK, Kutahya H, Mustafa IA. Spinal Cord Injury Without Radiological Abnormality (SCIWORA): Is It Still a Notable Definition? Journal of Spine 2015;4:215.
- Sharma S, Singh M, Wani IH, Sharma S, Sharma N, Singh D. Adult Spinal Cord Injury without Radiographic Abnormalities (SCIWORA): Clinical and Radiological Correlations. J Clin Med Res 2009;3:165-72.
- Knox J. Epidemiology of spinal cord injury without radiographic abnormality in children: a nationwide perspective. J Child Orthop 2016;10:255-60.
- Kasimatis GB, Panagiotopoulos E, Megas P, Matzaroglou C, Gliatis J, Tyllianakis M, et al. The adult spinal cord injury without radiographic abnormalities syndrome: magnetic resonance imaging and clinical findings in adults with spinal cord injuries having normal radiographs and computed tomography studies. J Trauma 2008;65:86-93.
- Khatri K, Farooque K, Gupta A, Sharma V. Spinal cord injury without radiographic abnormality in adult thoracic trauma. Arch Trauma Res 2014 25(3): e19036. DOI: 10.5812/atr.19036.
- Ruge JR, Sinson GP, McLone DG, Cerullo LJ. Pediatric spinal injury: the very young. J Neurosurg 1988;68:25-30.
- Rozzelle CJ, Aarabi B, Dhall SS, Gelb DE, Hurlbert RJ, Ryken TC, et al. Spinal Cord Injury Without Radiographic Abnormality (SCIWORA). Neurosurgery 2013;72:227-33.
- Hill SA, Miller CA, Kosnik EJ, Hunt WE. Pediatric neck injuries. A clinical study. J Neurosurg 1984;60:700-6.
- Choi JU, Hoffman HJ, Hendrick EB, Humphreys RP, Keith WS. Traumatic infarction of the spinal cord in children. J Neurosurg 1986;65:608-10.
- Boese CK, Lechler P. Spinal cord injury without radiologic abnormalities in adults: a systematic review. J Trauma Acute Care Surg 2013;75:320-30.
- Tewari MK, Gifti DS, Singh P, Khosla VK, Mathuriya SN, Gupta SK, et al. Diagnosis and prognostication of adult spinal cord injury without radiographic abnormality using magnetic resonance imaging: analysis of 40 patients. Surg Neurol 2005;63:204-9.
- Pang D, Wilberger JE Jr. Spinal cord injury without radiographic abnormalities in children. J Neurosurg 1982;57:114-29.
| APA | Sas S, TOPRAK ÇELENAY Ş (2018). Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. , 29 - 31. 10.4274/tod.81894 |
| Chicago | Sas Senem,TOPRAK ÇELENAY Şeyda Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. (2018): 29 - 31. 10.4274/tod.81894 |
| MLA | Sas Senem,TOPRAK ÇELENAY Şeyda Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. , 2018, ss.29 - 31. 10.4274/tod.81894 |
| AMA | Sas S,TOPRAK ÇELENAY Ş Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. . 2018; 29 - 31. 10.4274/tod.81894 |
| Vancouver | Sas S,TOPRAK ÇELENAY Ş Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. . 2018; 29 - 31. 10.4274/tod.81894 |
| IEEE | Sas S,TOPRAK ÇELENAY Ş "Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report." , ss.29 - 31, 2018. 10.4274/tod.81894 |
| ISNAD | Sas, Senem - TOPRAK ÇELENAY, Şeyda. "Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report". (2018), 29-31. https://doi.org/10.4274/tod.81894 |
| APA | Sas S, TOPRAK ÇELENAY Ş (2018). Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. Türk Osteoporoz Dergisi, 24(1), 29 - 31. 10.4274/tod.81894 |
| Chicago | Sas Senem,TOPRAK ÇELENAY Şeyda Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. Türk Osteoporoz Dergisi 24, no.1 (2018): 29 - 31. 10.4274/tod.81894 |
| MLA | Sas Senem,TOPRAK ÇELENAY Şeyda Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. Türk Osteoporoz Dergisi, vol.24, no.1, 2018, ss.29 - 31. 10.4274/tod.81894 |
| AMA | Sas S,TOPRAK ÇELENAY Ş Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. Türk Osteoporoz Dergisi. 2018; 24(1): 29 - 31. 10.4274/tod.81894 |
| Vancouver | Sas S,TOPRAK ÇELENAY Ş Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report. Türk Osteoporoz Dergisi. 2018; 24(1): 29 - 31. 10.4274/tod.81894 |
| IEEE | Sas S,TOPRAK ÇELENAY Ş "Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report." Türk Osteoporoz Dergisi, 24, ss.29 - 31, 2018. 10.4274/tod.81894 |
| ISNAD | Sas, Senem - TOPRAK ÇELENAY, Şeyda. "Traumatic Tetraplegia without Radiologic Abnormalities in an Elderly Woman: A Case Report". Türk Osteoporoz Dergisi 24/1 (2018), 29-31. https://doi.org/10.4274/tod.81894 |
