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White cord syndrome in a pediatric patient: A case report and review
Francisco Sepulveda1, Leandro Carballo2, Martin Carnevale2
1Department of Neuroradiology, Instituto de Neurocirugía Dr. Asenjo, José Manuel Infante 553, Santiago, Providencia, Santiago, Chile.
Insights
White cord syndrome, a rare neurological condition, can affect pediatric patients after spinal surgery. This case highlights its occurrence in children and reviews key MRI findings.
Area of Science:
- Neurology
- Radiology
- Spinal Surgery
Background:
- White cord syndrome is a rare neurological complication.
- It typically occurs after decompressive cervical spinal surgery.
- Characterized by T2-weighted MRI hyperintensity in the spinal cord.
Observation:
- A pediatric male patient presented with sudden neurological deterioration post-surgery.
- The patient exhibited classic MRI findings of white cord syndrome.
- This case expands the known demographic for this condition.
Findings:
- Confirms white cord syndrome can manifest in pediatric populations.
- Highlights the importance of MRI in diagnosing this condition.
- Reviews characteristic radiologic findings in affected patients.
Implications:
- Suggests pediatric patients may be susceptible to white cord syndrome.
- Emphasizes the need for vigilance in post-operative pediatric spinal care.
- Contributes to understanding the broader clinical spectrum of white cord syndrome.
Abstract:
White cord syndrome is a rare condition involving sudden neurological deterioration following a decompressive cervical spinal surgery and characterized by the appearance of hyperintensity on T2-weighted magnetic resonance imaging. We present a report of a pediatric male patient who presented with the condition. This case shows that white cord syndrome can also be present in pediatric patients. We provide a brief review of the literature highlighting the main radiologic findings.

