Emergency Department, Charles Nicolle's Teaching Hospital, Tunis, Tunisia.
Faculty of Medicine of Tunis, University of Tunis, El Manar, Tunisia.
Pan Afr Med J. 2023 Aug 15;45:160. doi: 10.11604/pamj.2023.45.160.23467. eCollection 2023.
Spinal Cord Injury without Radiographic Abnormality (SCIWORA) is an unprecedented event to occur in adults but may lead to serious complications including permanent neurological impairments and death. In this article, we report a case of a 60-year-old male presenting to the emergency for a head and neck trauma after a motorbike accident, who reported only a neck ache and a normal primary neurological exam. The evolution was marked by the occurrence of paraplegia with a diminished sphincter tone and hypoesthesia beneath the T12 dermatome level after six hours, confirmed by the Magnetic Resonance Imaging (MRI). He underwent a deferred laminectomy within 30 days after receiving methylprednisolone, with partial neurological improvement after two months. An early recognition of the diagnosis was challenge for the emergency physician, given the wide variability of clinical presentations. Magnetic resonance imaging (MRI) is a key examination to guide the diagnosis and the management of these patients.
脊髓损伤无放射学异常（SCIWORA）是一种在成人中前所未有的事件，但可能导致严重并发症，包括永久性神经损伤和死亡。在本文中，我们报告了一例 60 岁男性因摩托车事故头部和颈部外伤就诊于急诊的病例，患者仅报告颈部疼痛和正常的初级神经检查。六小时后，患者出现截瘫，伴有括约肌张力降低和 T12 皮节以下感觉减退，磁共振成像（MRI）证实了这一点。他在接受甲基强的松龙后 30 天内接受了延迟椎板切除术，两个月后神经功能部分改善。鉴于临床表现的广泛变异性，急诊医生对诊断的早期识别具有挑战性。磁共振成像（MRI）是指导这些患者诊断和治疗的关键检查。
