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Acute traumatic myelopathy secondary to a thoracic cyst in a professional football player
B Lynn1, R G Watkins, I V Watkins RG
1Marshfield Clinic, WI 54449-5777, USA.
Study Design:
Case report of acute traumatic myelopathy secondary to thoracic synovial cyst in a professional football player.
Objective:
To emphasize examination for myelopathy and describe the radiographic and magnetic resonance findings of a rare source of traumatic myelopathy.
Background:
Magnetic resonance imaging is the best initial evaluation for myelopathy in a traumatic setting. Heightened awareness during evaluation of a player involved in a traumatic incident allowed the diagnosis of potential cord damage and paralysis.
Methods:
A subject with symptoms resulting from a direct blow to the back was evaluated for myelopathy, with diagnosis assisted by magnetic resonance imaging used to pinpoint the source of the disorder.
Results:
The diagnosis allowed a surgical excision of the traumatic synovial cyst and full recovery of the injured football player.
Conclusions:
Awareness during examination for myelopathy in an acutely injured athlete is imperative to prompt the clinician to order the proper diagnostic studies and thereby embark on a surgical correction of the problem.
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