与冲浪相关的非创伤性脊髓病
Nontraumatic myelopathy associated with surfing.
作者信息
Avilés-Hernández Israel, García-Zozaya Inigo, DeVillasante Jorge M
机构信息
University of South Florida, College of Medicine, Tampa, Florida, USA.
出版信息
J Spinal Cord Med. 2007;30(3):288-93. doi: 10.1080/10790268.2007.11753939.
BACKGROUND/OBJECTIVE: Ischemic nontraumatic spinal cord injury associated with surfing is a novel diagnosis believed to be related to prolonged spine hyperextension while lying prone on the surfboard. Only 9 cases have been documented. This report features possible risk factors, etiology, diagnostic imaging, and outcomes of surfer's myelopathy.
DESIGN
Case report.
RESULTS
A 37-year-old man developed T11 American Spinal Injury Association (ASIA) A paraplegia shortly after surfing. The clinical history and magnetic resonance imaging findings were compatible with an ischemic insult to the distal thoracic spinal cord. Our patient did not have any of the proposed risk factors associated with this condition, and, contrary to most reports, he sustained a complete spinal cord lesion without neurological recovery by 8 weeks post injury.
CONCLUSIONS
Surfer's myelopathy, because of its proposed mechanism of injury, is amenable to medical intervention. Increased awareness of this condition may lead to early recognition and treatment, which should contribute to improved neurological outcomes.
背景/目的：与冲浪相关的缺血性非创伤性脊髓损伤是一种新的诊断，被认为与俯卧在冲浪板上时脊柱长时间过度伸展有关。仅有9例病例被记录。本报告介绍了冲浪者脊髓病的可能危险因素、病因、诊断性影像学检查及预后情况。
设计
病例报告。
结果
一名37岁男性在冲浪后不久出现美国脊髓损伤协会（ASIA）A级T11截瘫。临床病史和磁共振成像结果与胸段脊髓远端的缺血性损伤相符。我们的患者没有与这种情况相关的任何一种推测危险因素，并且与大多数报告相反，他在受伤后8周时脊髓损伤完全且神经功能未恢复。
结论
由于其推测的损伤机制，冲浪者脊髓病适合进行医学干预。提高对这种疾病的认识可能会导致早期识别和治疗，这应有助于改善神经功能预后。
Zotero 插件