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Transient Quadriplegia: A Case-Based Approach to Cervical Trauma.

Raymond Jabola1, Benjamin Boswell1, Robert H Lutz2

  • 1Case Western Reserve University School of Medicine, Department of Emergency Medicine, Cleveland, Ohio.

Clinical Practice and Cases in Emergency Medicine
|August 26, 2021
PubMed
Summary
This summary is machine-generated.

Transient quadriplegia after a football collision highlights the need for emergency physicians to carefully assess potential spinal cord injuries. Prompt evaluation using clinical decision tools and imaging is crucial for proper patient disposition.

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Area of Science:

  • Sports medicine
  • Neurology
  • Emergency medicine

Background:

  • Spinal cord injuries frequently lead to emergency department (ED) visits.
  • Sports-related spinal injuries are less common than those from vehicle accidents, violence, or falls.
  • Cervical spine injuries require prompt medical attention.

Purpose of the Study:

  • To report a case of transient quadriplegia in a young athlete.
  • To emphasize the importance of recognizing potential spinal cord injuries in sports-related trauma.
  • To highlight the role of emergency physicians in managing these injuries.

Main Methods:

  • Case report methodology.
  • Description of a 17-year-old male patient presenting to the ED.
  • Details of a helmet-to-helmet collision during a football game.

Main Results:

  • The patient experienced transient quadriplegia following the collision.
  • The injury occurred during a football game.
  • The case underscores the potential for serious neurological deficits in sports.

Conclusions:

  • Emergency physicians must maintain a high index of suspicion for spinal cord injuries.
  • Clinical decision tools are essential for evaluating patients with suspected cervical spine injury.
  • Radiologic imaging plays a critical role in the diagnosis and management of spinal cord injuries.