Abstract
We evaluated the utility of MR imaging in pediatric patients with acute and subacute spinal cord injuries. MR imaging of 22 pediatric patients with suspected traumatic spinal cord injuries was reviewed. MR findings were correlated with physical examination and compared to available radiographs and CT examinations performed at time of presentation. Twelve patients had abnormalities on MR imaging. Seven had spinal cord contusions; five contusions were hemorrhagic. Five of seven patients with cord contusion had normal radiographs and CT exams. Six patients with normal radiographs and CT examinations had abnormal MR studies revealing cord contusion, ligamentous injury, disc herniation, and epidural hematoma. MR is useful in initial evaluation of pediatric patients with spinal cord injuries and in prognosis of future neurologic function. In the setting of spinal cord symptomatology and negative radiographic studies, MR imaging should be performed. Surgically correctable causes of cord compression demonstrated by MR imaging include disc herniation, epidural hematoma, and retropulsed fracture fragments. The entity of spinal cord injury without radiographic abnormality is a diagnosis of exclusion which should only be made after radiologic investigation with radiographs, high-resolution thin-section CT, and MR imaging.
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References
Pang D, Wilberger JE (1982) Spinal cord injuries without radiographic abnormalities in children. J Neurosurg 57: 114–129
Osenbach RK, Menezes AH (1989) Spinal cord injury without radiographic abnormality in children. Pediatr Neurosci 5: 168–175
Kulkarni MV, McArdle CB, Kopanicky D, et al (1988) Acute spinal cord injury: MR imaging at 1.5 T. Radiology 164: 837–843
Davis PC, Reisner A, Hudgins PA, Davis WE, O'Brien MS (1993) Spinal Injuries in children: role of MR. AJNR 14: 607–617
Flanders AE, Schaefer DM, Doan HT, Mishkin MM, Gonzalez CF, Northrup BE (1990) Acute cervical spine trauma: correlation of MR imaging findings with degree of neurologic deficit. Radiology 177: 25–33
Cotler HB, Kulkarni MV, Bondurant FJ (1988) Magnetic resonance imaging of acute spinal cord trauma: preliminary report. J Orthop Surg 2: 1–4
Mathis JM, Wilson JT, Barnard JW, Zelenik ME (1988) MR Imaging of spinal cord avulsion. AJNR 9: 1232–1233
Castillo M, Quencer RM, Green BA (1989) Cervical spinal cord injury after traumatic breech delivery. AJNR [Suppl] 10: 99
Kerslake RW, Jaspan T, Worthington BS (1991) Magnetic resonance imaging of spinal trauma. Br J Radiol 64: 386–402
Schaefer DM, Flanders A, Northrup BE, Doan HT, Osterholm JL (1989) Magnetic resonance imaging of acute cervical spine trauma. Correlation with severity of neurologic injury. Spine 14: 1090–1095
Betz RR, Gelman AJ, DeFilipp GJ, Mesgorzaeh M, Claney MM, Steel HH (1987) Magnetic resonance imaging (MR) in the evaluation of spinal cord injured children and adolescents. Paraplegia 25: 92–99
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Felsberg, G.J., Tien, R.D., Osumi, A.K. et al. Utility of MR imaging in pediatric spinal cord injury. Pediatr Radiol 25, 131–135 (1995). https://doi.org/10.1007/BF02010327
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DOI: https://doi.org/10.1007/BF02010327