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European Journal of Pediatrics

, 165:108 | Cite as

Spinal cord injury without radiographic abnormalities

  • Barbara BuldiniEmail author
  • Angela Amigoni
  • Roberto Faggin
  • Anna Maria Laverda
Original Paper

Abstract

Spinal cord injury without radiographic abnormality (SCIWORA) has a reported rate of incidence varying from 19% to 34% of all spinal cord injuries in children. This acronym refers to the presence of neurological lesion, despite normal plain radiographs, but where magnetic resonance imaging (MRI) shows significant pathology. The clinical evidence of the damage could be delayed in 6–54% of cases, usually within 48 h after the trauma. We report two patients affected by SCIWORA in the pediatric population. The first patient was a child of 22 months who had fallen when attempting to get out of bed. The second patient was an 11-month-old child admitted to the Emergency Service department after a car accident. Spinal cord injury has to be suspected in the presence of neurological signs, despite normal plain radiography. MRI is the appropriate diagnostic examination to identify the presence of SCIWORA.

Keywords

Spinal cord injury Trauma Magnetic resonance imaging Neurologic injury 

Abbreviations

CT

Computed tomography

EMG

Electromyography

MRI

Magnetic resonance imaging

SCI

Spinal cord injuries

SCIWORA

Spinal cord injury without radiographic abnormality

Notes

Acknowledgements

We would like to acknowledge the contribution of Colette Case for her technical assistance.

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Barbara Buldini
    • 1
    Email author
  • Angela Amigoni
    • 1
  • Roberto Faggin
    • 1
  • Anna Maria Laverda
    • 1
  1. 1.Department of PediatricsUniversity of PaduaPaduaItaly

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