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A Battery of Motor Tests in a Neonatal Mouse Model of Cerebral Palsy

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Pediatric Surfer's Myelopathy.

Shernaz Wadia¹, Pradeep Padmanabhan¹, Karen Moeller²

¹Division of Pediatric Emergency Medicine, Kosair Children's Hospital, Louisville, Kentucky.

The Journal of Emergency Medicine

|September 16, 2015

Summary

This case report details the youngest patient with surfer's myelopathy, a rare spinal cord condition caused by hyperextension. Prompt recognition is crucial for pediatric patients presenting with back pain and neurological deficits.

Keywords:

back injury spinal cord injury surfer's myelopathy

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Area of Science:

Neurology
Pediatrics
Sports Medicine

Background:

Surfer's myelopathy is a rare, non-traumatic spinal cord disorder.
It is typically associated with arterial insufficiency due to excessive spine hyperextension.
Symptoms include back pain, paraplegia, and sensory deficits.

Observation:

A 7-year-old girl presented with acute back pain, urinary retention, and lower extremity weakness.
Her symptoms began after performing backbends during cheerleading practice.
This represents the youngest documented case of surfer's myelopathy.

Findings:

The patient's presentation and history are consistent with surfer's myelopathy.
The etiology is presumed to be related to hyperextension-induced arterial insufficiency.
Early diagnosis is critical for appropriate management.

Implications:

Highlights the importance of considering surfer's myelopathy in active children with neurological symptoms after hyperextension activities.
Emphasizes that seemingly minor trauma can lead to significant neurological injury.
Underscores the need for emergency physicians to be aware of this rare condition in pediatric sports injuries.