Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report

Traumatic spinal cord infarction is a rare condition that causes serious paralysis. The regulation of spinal cord blood flow in injured spinal cords remains unknown. Spinal cord infarction or ischemia has been reported after cardiovascular interventions, scoliosis correction, or profound hypotension...

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Main Author: Tae Hoon Kim
Format: Article
Language:English
Published: Korean Society of Traumatology 2021-12-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2021-0004.pdf
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author Tae Hoon Kim
author_facet Tae Hoon Kim
author_sort Tae Hoon Kim
collection DOAJ
description Traumatic spinal cord infarction is a rare condition that causes serious paralysis. The regulation of spinal cord blood flow in injured spinal cords remains unknown. Spinal cord infarction or ischemia has been reported after cardiovascular interventions, scoliosis correction, or profound hypotension. In this case, a 52-year-old man revisited the emergency center with motor and sensory abnormalities in all four extremities 56 hours after a motor vehicle collision. Despite the clinical presentation and imaging examination, there were no specific findings on the patient’s first visit to the trauma center. Cervical spine computed tomography angiography showed a narrow vertebral artery, and diffusion-weighted imaging revealed spinal cord infarction from C3 to C5 with high signal intensity. It should be kept in mind that delayed-onset spinal cord infarction may occur in minor or major trauma patients as a result of head and neck injuries.
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institution Kabale University
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publishDate 2021-12-01
publisher Korean Society of Traumatology
record_format Article
series Journal of Trauma and Injury
spelling doaj-art-b1befddb6e91482684b77644b12e8b572025-01-16T04:50:50ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832021-12-0134427928310.20408/jti.2021.00041080Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case ReportTae Hoon Kim0 Department of Emergency Medicine, Trauma Center, Wonkwang University Hospital, Iksan, KoreaTraumatic spinal cord infarction is a rare condition that causes serious paralysis. The regulation of spinal cord blood flow in injured spinal cords remains unknown. Spinal cord infarction or ischemia has been reported after cardiovascular interventions, scoliosis correction, or profound hypotension. In this case, a 52-year-old man revisited the emergency center with motor and sensory abnormalities in all four extremities 56 hours after a motor vehicle collision. Despite the clinical presentation and imaging examination, there were no specific findings on the patient’s first visit to the trauma center. Cervical spine computed tomography angiography showed a narrow vertebral artery, and diffusion-weighted imaging revealed spinal cord infarction from C3 to C5 with high signal intensity. It should be kept in mind that delayed-onset spinal cord infarction may occur in minor or major trauma patients as a result of head and neck injuries.http://jtraumainj.org/upload/pdf/jti-2021-0004.pdftraumaspinal cord injuriesquadriplegia
spellingShingle Tae Hoon Kim
Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report
Journal of Trauma and Injury
trauma
spinal cord injuries
quadriplegia
title Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report
title_full Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report
title_fullStr Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report
title_full_unstemmed Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report
title_short Delayed Post-Traumatic Spinal Cord Infarction with Quadriplegia: A Case Report
title_sort delayed post traumatic spinal cord infarction with quadriplegia a case report
topic trauma
spinal cord injuries
quadriplegia
url http://jtraumainj.org/upload/pdf/jti-2021-0004.pdf
work_keys_str_mv AT taehoonkim delayedposttraumaticspinalcordinfarctionwithquadriplegiaacasereport