Grubenhoff Joseph A, Brent Alison
Department of Pediatrics, Section of Emergency Medicine, Children's Hospital Denver, University of Colorado Denver School of Medicine, Denver, Colorado, USA.
Curr Opin Pediatr. 2008 Jun;20(3):341-4. doi: 10.1097/MOP.0b013e3282ff62d6.
Cervical spine and spinal cord injuries are rare in pediatric trauma victims. The majority result from blunt trauma. Spinal cord injury without radiographic abnormality has been reported to be more common among young children than adults. The Brown-Séquard syndrome is rarely seen as the result of blunt trauma. We present the case of young boy who suffered spinal cord injury without radiographic abnormality resulting in the Brown-Séquard syndrome and review the controversy surrounding the use of high-dose corticosteroids in the treatment of pediatric spinal cord injury. Current data do not support the use of corticosteroids as 'standard of care' for this population.
颈椎和脊髓损伤在儿童创伤患者中较为罕见。大多数损伤是由钝性创伤所致。据报道,无放射学异常的脊髓损伤在幼儿中比成人更为常见。布朗 - 塞卡尔综合征很少由钝性创伤引起。我们报告一例遭受无放射学异常脊髓损伤并导致布朗 - 塞卡尔综合征的小男孩病例,并综述围绕使用大剂量皮质类固醇治疗儿童脊髓损伤的争议。目前的数据不支持将皮质类固醇作为该人群的“标准治疗方法”。