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Spinal cord concussion.

T J Zwimpfer1, M Bernstein

  • 1Division of Neurosurgery, University of Toronto, Ontario, Canada.

Journal of Neurosurgery
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

Spinal cord concussion (SCC) involves temporary neurological deficits after trauma, with most patients recovering within 72 hours. This study examines 19 SCC cases, highlighting rapid recovery and suggesting indirect injury mechanisms.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Sports Medicine

Background:

  • Cerebral concussion is well-documented, but spinal cord concussion (SCC) remains poorly understood.
  • SCC is characterized by rapid and complete resolution of neurological deficits post-injury.
  • Understanding SCC is crucial for diagnosing and managing temporary spinal cord injuries.

Purpose of the Study:

  • To present the clinical and radiological features of 19 spinal cord concussion injuries.
  • To classify SCC based on specific diagnostic criteria.
  • To explore potential mechanisms underlying spinal cord concussion.

Main Methods:

  • Retrospective analysis of 19 patients diagnosed with spinal cord concussion.
  • Classification criteria included: immediate onset of deficits post-trauma, deficits consistent with injury level, and complete recovery within 72 hours.

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  • Clinical and radiological data were reviewed to identify injury patterns and patient demographics.

    • Main Results:

    • Most SCC cases involved young males, often due to athletic injuries or falls.
    • Injuries predominantly occurred in the cervical spine (16 cases) and thoracolumbar junction (3 cases).
    • Complete neurological recovery was rapid, with most patients recovering within 24 hours; no permanent injuries or delayed deterioration were observed.

    Conclusions:

    • Spinal cord concussion is a distinct entity characterized by transient neurological deficits and rapid recovery.
    • The findings suggest SCC may result from indirect cord injury rather than direct compression.
    • Further research into the mechanisms of SCC is warranted.