Spinal cord injury without radiological abnormality (SC/WORA) :a diagnosis not to be missed
2000; Medknow; Volume: 5; Issue: 4 Linguagem: Inglês
ISSN
1998-3891
AutoresSK Chowdhary, S. K. Chowdhary, Milind Chitnis, F Goosen, C. R. Lazarus,
Tópico(s)Autopsy Techniques and Outcomes
ResumoABSTRACT: The authors report a case of occipital injury in an infant, in domestic violence. On examination, the child was found to be in respiratory distress and comatose; she was not moving her limbs. She was admitted as a case of non-accidental injury (NAI) and managed on the lines of head injury. A SCIWORA (Spinal cord injury without radiological abnormality) was diagnosed 36 hours later. A spinal cord injury without bone injury may be missed in a small child. A high index of suspicion must be maintained for the diagnosis of a SCIWORA in such patients, to prevent further secondary spinal cord damage.
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