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Related Experiment Videos

Spinal cord injury without radiographic abnormalities.

Barbara Buldini1, Angela Amigoni, Roberto Faggin

  • 1Department of Pediatrics, University of Padua, via Giustiniani 3, 35128 Padua, Italy.barbarabuldini@hotmail.com

European Journal of Pediatrics
|October 20, 2005
PubMed
Summary

Spinal cord injury without radiographic abnormality (SCIWORA) in children often shows delayed symptoms and requires MRI for diagnosis, even with normal X-rays. Early suspicion is key for pediatric spinal cord injury cases.

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Area of Science:

  • Pediatric neurology
  • Radiology
  • Trauma care

Background:

  • Spinal cord injury without radiographic abnormality (SCIWORA) affects 19-34% of pediatric spinal cord injuries.
  • Neurological deficits may appear delayed (6-54% of cases) within 48 hours post-trauma.

Observation:

  • Two pediatric cases of SCIWORA are presented.
  • Case 1: 22-month-old child with fall from bed.
  • Case 2: 11-month-old child after a car accident.

Findings:

  • SCIWORA presents with neurological damage despite normal plain radiographs.
  • Magnetic resonance imaging (MRI) reveals significant spinal cord pathology.
  • Clinical suspicion is crucial when neurological signs are present with normal radiography.

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Implications:

  • Highlights the importance of considering SCIWORA in pediatric trauma.
  • Emphasizes MRI as the definitive diagnostic tool for SCIWORA.
  • Underscores the need for prompt neurological assessment in children with suspected spinal injuries.