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Spinal cord injury without evidence of lesion in an hemophilic child

J. Grippo, A. Asís, T. Grippo [REV NEUROL 2002;35:697] PMID: 12389160 DOI: https://doi.org/10.33588/rn.3507.2002097

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Volumen 35 | Number 07 | Nº of views of the article 5.978 | Nº of PDF downloads 276 | Article publication date 01/10/2002

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ABSTRACT

INTRODUCTION In spinal cord injury a reduced number of patient have no morphological alterations through MRI. CLINICAL CASE. A four year and eight month of age,hemophilic boy, suffer a light dorso-lumbar injury, without conscience loss. Free of symptoms, after 24 hours the child refers pain in his legs, he has miction difficulties and gait incoordination. He has multiple hematomes on all members. Next day the neurological examination shows flaccid paraplegia, with sensitive level at D5-D7. Four days after the injury, he has not involuntary urinary incontinence with motor paresia on the legs, more at the rigth side. Paraparesia was light after five week after trauma. MRI done before study was normal. Somato-sensorial potential registred prolongated latency on stimulation more evident on the right legs. After the physiological studies paraparesia was better. In front of normality of the MRI we concluded that the child has paraplegia without evidence of demostrable lesion (SCIWORA).

CONCLUSIONS A child with severa hemophilia suffered a light spinal cord injury with paraplegia without evidence of lesion through MRI studies. KeywordsFunctional recuperati Hemophilic child MRI normality Spinal cord injury SSPE abnormal CategoriesNeuropediatría Traumatismos

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Spinal cord injury without evidence of lesion in an hemophilic child