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J Korean Soc Emerg Med > Volume 30(6); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(6): 598-602.
두부손상이 있는 22개월 환아의 척수손상 초기 진단 실패
윤경욱
단국대학교 의과대학 신경외과학교실
Failure of initial neurologic assessment for SCIWORA with brain injury in 22-month-old patient
Kyeong-Wook Yoon
Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Korea
Correspondence  Kyeong-Wook Yoon ,Tel: 041-550-6280, Fax: 041-552-6870, Email: melway@hanmail.net,
Received: November 2, 2018; Revised: January 19, 2019   Accepted: January 23, 2019.  Published online: December 31, 2019.
ABSTRACT
Spinal cord injury without radiological abnormality (SCIWORA) is a unique concern in pediatric spine injuries. The incidence of pediatric spinal injuries is relatively low, with cervical spine being the most frequently involved in young children. The immature anatomical structure of the cervical spine in young children is attributable to the occurrence of SCIWORA. The author had experienced a case of failure to detect the spinal cord injury during the initial neurologic assessment in the emergency room, in a 22-month-old girl who had suffered a brain injury subsequent to a traffic accident. Since the brain injury resulted in decreased mentality and posttraumatic seizure, precise motor and sensory examinations were not performed, thereby resulting in the missed spinal cord injury during initial diagnosis.
Key words: Spinal cord injuries; Brain injuries; Infant
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