TY  - JOUR
PY  - 2008//
TI  - Cervical spinal cord injury in abused children
JO  - Pediatric emergency care
A1  - Feldman, Kenneth W.
A1  - Avellino, Anthony M.
A1  - Sugar, N. F.
A1  - Ellenbogen, Richard G.
SP  - 222
EP  - 227
VL  - 24
IS  - 4
N2  - Five infants and toddlers who sustained cervical spinal cord injury as the result of child abuse are described. Three cases are previously unreported. Diagnosis was complicated by coexistent brain injuries and their treatments, subtle and/or evolving paralysis, and central cord syndrome, in which arm function is diminished but leg function is preserved. Definitive spinal imaging by magnetic resonance imaging (MRI), computed tomography, and plain radiographs was delayed because of life support efforts. When completed, the MRI was most sensitive to cord injury. Evidence of associated bony spinal injury was often absent or unapparent until healing occurred; 4 children had spinal cord injury without (or with minimal) radiological abnormality. The 3 children presenting to our hospital with cord injury represent 1% of the estimated cases of inflicted head injury seen during a 23-year period.<p />  <p>Language: en</p>
LA  - en
SN  - 0749-5161
UR  - http://dx.doi.org/10.1097/PEC.0b013e31816b7aa4
ID  - ref1
ER  -