TY  - JOUR
T1  - A forgotten diagnosis in the emergency department: Spinal cord injury without radiographic abnormality
AU  - Baykan, Necmi
AU  - Hançer Çelik, Fatma
AU  - Çifci, Harun
AU  - Durbilmez, Ahmet Kürşat
AU  - Salt, Ömer
PY  - 2024
DA  - March
Y2  - 2024
JF  - Deneysel ve Klinik Tıp Dergisi
JO  - J. Exp. Clin. Med.
PB  - Ondokuz Mayıs University
WT  - DergiPark
SN  - 1309-4483
SP  - 224
EP  - 225
VL  - 41
IS  - 1
LA  - en
AB  - Spinal fracture in spinal cord injury may occur without findings on computed tomography, and this, is called traumatic myelopathy. This condition is defined as spinal cord injury (SCIWORA) without radiographic abnormality of the vertebral column. A 57-year-old male patient with a history of DM was brought to the emergency room by his relatives due to a fall at home. Patient's GCS: 15 and although the sensory examination of the patient was normal, he was tetraplegic. No acute pathological finding was detected in the brain and cervical CT imaging of the patient. While acute pathology was not detected in the cranial MRI of the patient, posterior disc herniation at the C3-4 level secondary to trauma was detected in the cervical MRI. The patient was evaluated by neurosurgery, and emergency surgery was promptly scheduled, following which the patient underwent the procedure.
KW  - SCIWORA
KW  - spinal trauma
KW  - trauma
KW  - emergency department
CR  - Ofluoğlu E, Zileli M. Alt servikal travmalar: Omurilik ve omurga cerrahisi. Zileli M, Özer AF (ed), Intertıp Inc. üçüncü baskı, 2014: 927
CR  - Yaqoob HS, Gamal AL, Faidh RA, Asim M, Ahmed K, Awwad M, et al. Diagnosis, management and outcome of Spinal Cord Injury without Radiographic Abnormalities (SCIWORA) in adult patients with trauma: a case series. Qatar Med J. 2021;23:67.
CR  - Szwedowski D, Walecki J. Spinal Cord Injury without Radiographic Abnormality (SCIWORA) - Clinical and Radiological Aspects. Pol J Radiol. 2014;79:461-4.
CR  - Sharma S, Singh M, Wani IH, Sharma S, Sharma N, Singh D. Adult spinal cord injury without radiographic abnormalities (SCIWORA): clinical and radiological correlations. J Clin Med Res. 2009;1(3):165–72.
UR  - https://dergipark.org.tr/en/pub/omujecm/article/1401983
L1  - https://dergipark.org.tr/en/download/article-file/3586764
ER  -