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Extensive cervical spinal cord lesion with late foetal presentation
T Hedderly1, S Chalmers, G Fox
1Department of Neurology & Neonatology, Guys Hospital, London, UK. tammyhedderly@hotmail.com
Acta Paediatrica (Oslo, Norway : 1992)
|June 29, 2005
Summary
Neonatal cervical spinal cord injury is rare, occurring before birth. Reduced fetal movement, even without trauma, can indicate serious cervical cord lesions needing prompt consideration.
Area of Science:
- Perinatology
- Neurology
- Pediatric Surgery
Background:
- Neonatal cervical spinal cord injury is a rare event during the perinatal period.
- Such injuries can occur due to traumatic or atraumatic birth processes.
Observation:
- A case of atraumatic, late third-trimester, pre-labor cervical spinal cord lesion is presented.
- The patient experienced a loss of fetal movements in late pregnancy.
Findings:
- The extensive cervical lesion was diagnosed without any history of trauma.
- This case highlights diagnostic differences and a unique outcome compared to previously reported cases.
Implications:
- Clinicians should consider cervical cord lesions in cases of reduced fetal or postnatal movement.
- Early consideration is crucial even when no traumatic event is evident.