Department of Rehabilitation Medicine, Sapporo Medical University School of Medicine, Hokkaido, Japan.
Am J Phys Med Rehabil. 2013 Sep;92(9):828-32. doi: 10.1097/PHM.0b013e318238a1d0.
A nontraumatic spinal cord injury related to surfing is called surfer's myelopathy. The case of a 26-yr-old man who became paraplegic after surfing without apparent traumatic events is described. Physical examination revealed a spinal cord injury at T12 according to the American Spinal Injury Association Impairment Scale A. The initial magnetic resonance image revealed a fusiform swelling of the spinal cord from T7-8 to the conus, which was hyperintense on T2-weighted images. After 6 mos of rehabilitation, the patient was followed for more than 1 yr after onset. He became able to walk with knee-ankle-foot-orthoses without assistance. A magnetic resonance image obtained 1 yr after the onset of paraplegia showed an atrophic spinal cord from T7-8 to the conus. The course of the neurologic findings and the imaging studies suggest that the pathogenesis of surfer's myelopathy may be ischemia of the anterior spinal artery territory induced by the abnormal trunk posture while surfing.
一种与冲浪相关的非外伤性脊髓损伤称为冲浪者脊髓病。描述了一名 26 岁男子在没有明显创伤性事件的情况下冲浪后截瘫的病例。体格检查显示根据美国脊髓损伤协会损伤量表 A，T12 脊髓损伤。初始磁共振成像显示 T7-8 至圆锥的脊髓呈梭形肿胀，T2 加权图像呈高信号。康复 6 个月后，患者在发病后随访超过 1 年。他能够在膝盖-脚踝-足矫形器的帮助下行走。截瘫发病 1 年后获得的磁共振图像显示 T7-8 至圆锥的脊髓萎缩。神经学表现和影像学研究的过程表明，冲浪者脊髓病的发病机制可能是冲浪时异常躯干姿势引起的前脊髓动脉区域缺血。
