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Mukul Mohindra,V.K. Gautam,Lalit Maini,Santosh Kumar,Saurabh Verma.[J].Chin J Traumatol,2015,18(1):48-50. [doi] |
Subacute posttraumatic ascending myelopathy: A case report and review of literature |
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KeyWord: Posttraumatic ascending myelopathy Spinal cord injury Wedge compression fracture |
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Author Name | Affiliation | Mukul Mohindra | Department of Orthopaedics, Maulana Azad Medical College and Associated Hospitals, New Delhi, India | V.K. Gautam | Department of Orthopaedics, Maulana Azad Medical College and Associated Hospitals, New Delhi, India | Lalit Maini | Department of Orthopaedics, Maulana Azad Medical College and Associated Hospitals, New Delhi, India | Santosh Kumar | Department of Orthopaedics, Maulana Azad Medical College and Associated Hospitals, New Delhi, India | Saurabh Verma | Department of Orthopaedics, Maulana Azad Medical College and Associated Hospitals, New Delhi, India |
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Abstract: |
Subacute posttraumatic ascending myelopathy is a rare disorder, unrelated to syrinx formation or mechanical
instability, which may gradually emerge within the first 1-2 weeks after a spinal cord injury and may lead to diagnostic and prognostic dilemmas. We present a case of 24-year-old female with unstable wedge compression fracture of L1 vertebrae with signal changes in the upper lumbar cord causing complete paraplegia below D9 with bladder and bowel involvement. In the subsequent week, she developed a delayed progressively increasing neurological deficit with cord signal abnormality on MRI extending cephalad from the injury site to the upper dorsal cord. The patient had no initial clinical improvement initially but showed a delayed recovery over months. |
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