Al-Shaaibi Khaloud, Kariyattil Rajeev
Department of Emergency Medicine, Oman Medical Specialty Board, Muscat, Oman.
Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Oman Med J. 2015 Mar;30(2):135-7. doi: 10.5001/omj.2015.28.
Transient neurological deficit following cervical trauma have been reported following sports injuries, and has been referred to as cervical cord neurapraxia. The so-called "whiplash injuries" following minor motor vehicle collisions usually do not produce any neurological deficit. Here we report the case of a whiplash type of injury presenting with a delayed onset neurological deficit, which was followed by rapid and complete recovery. The patient, an otherwise healthy 34-year-old male, attended the emergency department of Sultan Qaboos University Hospital following a rear-end motor vehicle collision. We present images showing degenerative disc disease causing spinal canal narrowing and mild cord compression in the patient, but no spinal instability. Differential diagnoses are also discussed.
运动损伤后曾有颈椎创伤后短暂性神经功能缺损的报道,这种情况被称为颈髓神经失用症。轻微机动车碰撞后的所谓“挥鞭伤”通常不会导致任何神经功能缺损。在此我们报告一例挥鞭样损伤病例,该病例出现延迟性神经功能缺损,随后迅速且完全恢复。患者为一名34岁健康男性,在一次机动车追尾碰撞后前往苏丹卡布斯大学医院急诊科就诊。我们展示的影像显示该患者存在退行性椎间盘疾病,导致椎管狭窄和轻度脊髓受压,但无脊柱不稳定情况。同时也讨论了鉴别诊断。