Nakano Hidehiko, Yamamoto Daisuke, Yamagami Hiroshi, Sekine Ichiro, Ofuchi Hisashi
Emergency Department Shonan Kamakura General Hospital Kamakura Kanagawa Japan.
Department of Neurology Shonan Kamakura General Hospital Kamakura Kanagawa Japan.
Acute Med Surg. 2019 Apr 5;6(3):312-315. doi: 10.1002/ams2.416. eCollection 2019 Jul.
Surfer's myelopathy is a non-traumatic spinal cord injury that was first described in a publication in 2004. However, most emergency physicians are not familiar with this rare disease.
The patient was a 19-year-old female novice surfer. She had experienced back discomfort without trauma during her surfing lessons. The discomfort turned to dysesthesia of both legs. She could not walk after 1 h and was brought to our hospital. Physical examination revealed weakness and dysesthesia of both legs, absent deep tendon reflexes, bilaterally positive Babinski reflex, and bladder and rectal disturbance. Spine magnetic resonance imaging revealed T2 prolongation from T7 to the medullary cone. She was diagnosed with surfer's myelopathy and treated conservatively. She recovered well and was discharged on day 28.
Emergency physicians must be better informed about surfer's myelopathy. Novice surfers and instructors should be educated on the early signs and symptoms of this condition.
冲浪者脊髓病是一种非创伤性脊髓损伤，于2004年首次在一篇出版物中被描述。然而，大多数急诊医生并不熟悉这种罕见疾病。
患者为一名19岁的女性新手冲浪者。她在冲浪课程期间无外伤史却出现了背部不适。这种不适后来转变为双腿感觉异常。1小时后她无法行走，随后被送往我院。体格检查发现双腿无力及感觉异常，深腱反射消失，双侧巴宾斯基征阳性，伴有膀胱及直肠功能障碍。脊柱磁共振成像显示从T7至脊髓圆锥T2信号延长。她被诊断为冲浪者脊髓病并接受了保守治疗。她恢复良好，于第28天出院。
急诊医生必须更好地了解冲浪者脊髓病。应向新手冲浪者和教练传授该病的早期体征和症状。
