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KMID : 0361419950190040920
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Journal of Korean Academy of Rehabilitation Medicine
1995 Volume.19 No. 4 p.920 ~ p.925
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Delayed Traumatic Quadriplegia without Radiographic Abnormalities in Adult-A case report-
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Abstract
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Spinal cord injury without radiographic abnormalities(SCIWORA) is rare in adults. The adult SCIWORA is commonly occurred by hyperextension injury of spondylotic spine which is combined with the stenosis of the spinal canal. The cause of
progressive
paralysis is spinal instability caused by missed fracture, spinal cord infarction due to minor spinal cord injury, and inadvertent management and so on. In these circumstances, one can confirm the mechanism and severity of injuries by
radiographic
study.
We report a case of spinal cord injured patient who had progressive paralysis through several weeks without definite abnormalities in radiologic studies, such as sequencial MRI.
We suggest that the cervical cord injury should be considered in head and neck injuries even if no immediately instability is demonstrated in radiographic studies.
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KEYWORD
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