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A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality

Year 2024, Volume: 41 Issue: 1, 224 - 225, 29.03.2024

Abstract

Spinal fracture in spinal cord injury may occur without findings on computed tomography, and this, is called traumatic myelopathy. This condition is defined as spinal cord injury (SCIWORA) without radiographic abnormality of the vertebral column. A 57-year-old male patient with a history of DM was brought to the emergency room by his relatives due to a fall at home. Patient's GCS: 15 and although the sensory examination of the patient was normal, he was tetraplegic. No acute pathological finding was detected in the brain and cervical CT imaging of the patient. While acute pathology was not detected in the cranial MRI of the patient, posterior disc herniation at the C3-4 level secondary to trauma was detected in the cervical MRI. The patient was evaluated by neurosurgery, and emergency surgery was promptly scheduled, following which the patient underwent the procedure.

References

  • Ofluoğlu E, Zileli M. Alt servikal travmalar: Omurilik ve omurga cerrahisi. Zileli M, Özer AF (ed), Intertıp Inc. üçüncü baskı, 2014: 927
  • Yaqoob HS, Gamal AL, Faidh RA, Asim M, Ahmed K, Awwad M, et al. Diagnosis, management and outcome of Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) in adult patients with trauma: a case series. Qatar Med J. 2021;23:67.
  • Szwedowski D, Walecki J. Spinal Cord Injury without Radiographic Abnormality (SCIWORA) - Clinical and Radiological Aspects. Pol J Radiol. 2014;79:461-4.
  • 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;1(3):165–72.
Year 2024, Volume: 41 Issue: 1, 224 - 225, 29.03.2024

Abstract

References

  • Ofluoğlu E, Zileli M. Alt servikal travmalar: Omurilik ve omurga cerrahisi. Zileli M, Özer AF (ed), Intertıp Inc. üçüncü baskı, 2014: 927
  • Yaqoob HS, Gamal AL, Faidh RA, Asim M, Ahmed K, Awwad M, et al. Diagnosis, management and outcome of Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) in adult patients with trauma: a case series. Qatar Med J. 2021;23:67.
  • Szwedowski D, Walecki J. Spinal Cord Injury without Radiographic Abnormality (SCIWORA) - Clinical and Radiological Aspects. Pol J Radiol. 2014;79:461-4.
  • 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;1(3):165–72.
There are 4 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Case Report
Authors

Fatma Hançer Çelik 0009-0003-4421-5791

Harun Çifci 0009-0003-1208-8169

Ahmet Kürşat Durbilmez 0009-0003-9420-429X

Ömer Salt 0000-0002-5557-6627

Necmi Baykan 0000-0002-6845-9550

Publication Date March 29, 2024
Submission Date December 8, 2023
Acceptance Date February 25, 2024
Published in Issue Year 2024 Volume: 41 Issue: 1

Cite

APA Hançer Çelik, F., Çifci, H., Durbilmez, A. K., Salt, Ö., et al. (2024). A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality. Journal of Experimental and Clinical Medicine, 41(1), 224-225.
AMA Hançer Çelik F, Çifci H, Durbilmez AK, Salt Ö, Baykan N. A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality. J. Exp. Clin. Med. March 2024;41(1):224-225.
Chicago Hançer Çelik, Fatma, Harun Çifci, Ahmet Kürşat Durbilmez, Ömer Salt, and Necmi Baykan. “A Forgotten Diagnosis in the Emergency Department: Spinal Cord Injury Without Radiographic Abnormality”. Journal of Experimental and Clinical Medicine 41, no. 1 (March 2024): 224-25.
EndNote Hançer Çelik F, Çifci H, Durbilmez AK, Salt Ö, Baykan N (March 1, 2024) A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality. Journal of Experimental and Clinical Medicine 41 1 224–225.
IEEE F. Hançer Çelik, H. Çifci, A. K. Durbilmez, Ö. Salt, and N. Baykan, “A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality”, J. Exp. Clin. Med., vol. 41, no. 1, pp. 224–225, 2024.
ISNAD Hançer Çelik, Fatma et al. “A Forgotten Diagnosis in the Emergency Department: Spinal Cord Injury Without Radiographic Abnormality”. Journal of Experimental and Clinical Medicine 41/1 (March 2024), 224-225.
JAMA Hançer Çelik F, Çifci H, Durbilmez AK, Salt Ö, Baykan N. A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality. J. Exp. Clin. Med. 2024;41:224–225.
MLA Hançer Çelik, Fatma et al. “A Forgotten Diagnosis in the Emergency Department: Spinal Cord Injury Without Radiographic Abnormality”. Journal of Experimental and Clinical Medicine, vol. 41, no. 1, 2024, pp. 224-5.
Vancouver Hançer Çelik F, Çifci H, Durbilmez AK, Salt Ö, Baykan N. A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality. J. Exp. Clin. Med. 2024;41(1):224-5.