Acer Sevtap, Umay Ebru Karaca, Nazlı Fatma, Kasman Ugur Onur, Gündoğdu İbrahim, Çakcı Aytül
1Department of Physical Medicine and Rehabilitation, Diskapi Yildirim Beyazit Training and Research Hospital, Sehit Omer Halisdemir Street, Altindag, Ankara Turkey.
2Department of Orthopaedics and Traumatology, Diskapi Yildirim Beyazit Training and Research Hospital, Sehit Omer Halisdemir Street, Altindag, Ankara Turkey.
Spinal Cord Ser Cases. 2018 Feb 27;4:17. doi: 10.1038/s41394-018-0050-2. eCollection 2018.
Although the prognosis of spinal cord injury without radiographic evidence of abnormality (SCIWORA) depends on the severity of the initial neurological damage, most patients with American Spinal Injury Association impairment scale grade D are expected to recover fully.
An 85-year-old patient with SCIWORA and urinary incontinence, who did not produce the expected response to rehabilitation, displayed the central, peripheral, and autonomic nervous system findings together. Conventional radiography, computed tomography, and even magnetic resonance imaging were unable to explain this complicated neurological condition thoroughly. More in-depth research into the patient's history revealed some sequelae left by urinary surgery and chemotherapy.
Comorbidities in geriatric SCIWORA have severe effects on both etiology and prognosis. Furthermore, incontinence in SCIWORA is an essential condition that has not been addressed until now and may play a role in prognosis.
尽管无放射学异常证据的脊髓损伤（SCIWORA）的预后取决于初始神经损伤的严重程度，但大多数美国脊髓损伤协会损伤分级为D级的患者有望完全康复。
一名85岁患有SCIWORA和尿失禁的患者，对康复治疗未产生预期反应，同时出现了中枢、外周和自主神经系统的表现。传统的X线摄影、计算机断层扫描甚至磁共振成像都无法彻底解释这种复杂的神经状况。对患者病史进行更深入的研究发现了一些泌尿外科手术和化疗留下的后遗症。
老年SCIWORA患者的合并症对病因和预后都有严重影响。此外，SCIWORA患者的尿失禁是一个至今未得到解决的重要情况，可能对预后产生影响。
