Citation

de Brito Chagas J, Cancelinha C, Pais RP, Costa C. BMJ Case Rep. 2021; 14(7).

Copyright

(Copyright © 2021, BMJ Publishing Group)

DOI

10.1136/bcr-2021-242155

PMID

unavailable

Abstract

Spinal cord ischaemia is a rare condition in children in which imaging diagnosis can be difficult and treatment guidelines are not well established. We describe a case of a previously healthy 13-year-old girl admitted to the emergency department with an acute flaccid paralysis of the lower limbs, abdominal and dorsal pain, and bladder dysfunction. A few hours earlier, she had been playing on a swing with hyperextension and an arched back position. Spinal cord MRI was normal in the first hours, but ischaemic signs were described in a second examination performed some hours later. We discuss the extensive investigation for differential diagnosis and the management of this case.

Language: en

Keywords

Adolescent; Child; Humans; Female; neurological injury; *Spinal Cord Injuries; *Spinal Cord Ischemia/diagnosis/etiology; Magnetic Resonance Imaging; neuroimaging; paediatrics; Paralysis; spinal cord; Spinal Cord; trauma CNS /PNS