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Surfer Myelopathy in Children: A Case Series Study
Yulong Wang1, Fengzhao Zhu1, Lian Zeng1
1Department of Orthopedics, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
World Neurosurgery
|January 8, 2021
Summary
Surfer myelopathy in children stems from spinal venous hypertension. Initial injury severity, assessed by the American Spinal Injury Association Impairment Scale (AIS), predicts patient outcomes.
Area of Science:
- Neurology
- Pediatric Neurology
- Spinal Cord Imaging
Background:
- Surfer myelopathy's cause is unknown, and long-term outcomes are poorly documented.
- This study investigates the mechanisms and long-term prognosis of surfer myelopathy in pediatric patients.
Purpose of the Study:
- To analyze the underlying mechanisms of surfer myelopathy in children.
- To report the long-term follow-up outcomes for pediatric patients diagnosed with surfer myelopathy.
Main Methods:
- Retrospective analysis of clinical data from 3 institutions.
- Assessment of patients using the American Spinal Injury Association Impairment Scale (AIS).
- Evaluation of medical history, MRI, and MRA to study mechanisms.
Main Results:
- Thirty-one children diagnosed with surfer myelopathy showed specific MRI findings.
- Spinal venous hypertension indicators were observed in a significant number of patients.
- Long-term follow-up revealed no recovery for AIS grade A patients, with cord atrophy in 14 patients.
Conclusions:
- Pediatric surfer myelopathy is attributed to spinal venous hypertension.
- The initial AIS grade serves as a crucial predictor for prognosis in these cases.
