UNRECOGNIZED INCOMPLETE CERVICAL SPINAL-CORD INJURY - REVIEW OF 9 NEW AND 28 PREVIOUSLY REPORTED CASES

被引：10

作者：

BICKNELL, JM

FIELDER, K

机构：

[1] Neurology Service, Veterans Affairs Medical Center, Albuquerque

[2] Zia Spinal Cord Injury Center, Veterans Affairs Medical Center, Albuquerque

[3] Department of Neurology, University of New Mexico School of Medicine, Albuquerque, NM

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1992年 / 10卷 / 04期

关键词：

SPINAL CORD INJURIES; CERVICAL VERTEBRAE; ALCOHOLISM; AGING; PARAPLEGIA; TRAUMATOLOGY;

D O I：

10.1016/0735-6757(92)90015-P

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Nine patients with unrecognized incomplete cervical spinal cord injury are discussed. Four were sent home as normal, three were called hysterical, and two went undiagnosed during stupor or coma. A literature search revealed 28 additional cases. Eighty percent of these were males, two thirds were over 50 years old, and most had central or posterior cord syndromes. Falls with hyperextension, spondylosis, or disc disease, and motor vehicle accidents were the most common causes. Only one of the 37 had a cervical fracture. In some the neurologic problem was missed altogether; in others it was attributed to hysteria, intoxication, or to other neurologic or systemic diseases. Minor injuries without cervical fracture or dislocation, advanced age, unusual or changeable neurologic deficits, intoxication, and psychiatric problems all contributed to the confusion. © 1992.

引用

页码：336 / 343

页数：8

共 39 条

[1]

Howorth, Petrie, Injuries of the Spine, pp. 1-59, (1964)

[2]

Bohlman, Acute fractures and dislocations of the cervical spine: An analysis of three hundred hospitalized patients and review of the literature, J Bone Joint Surg, 61 A, pp. 1119-1142, (1979)

[3]

Bosch, Stauffer, Nickel, Incomplete traumatic paraplegia: A ten-year review, JAMA, 216, pp. 473-478, (1971)

[4]

Shrosbee, Acute central cervical spinal cord syndrome: Aetiology, age incidence and relationship to the orthopaedic injury, Paraplegia, 14, pp. 251-258, (1977)

[5]

Braakman, Penning, Injuries of the cervical spine, Handbook of Clinical Neurology, 25, pp. 227-380, (1976)

[6]

Hopkins, Rudge, Hyperpathia in the central cervical cord syndrome, J Neurol Neurosurg Psychiatry, 36, pp. 637-642, (1973)

[7]

Hardy, Cervical spinal cord injury without bony injury, Paraplegia, 14, pp. 296-305, (1977)

[8]

Maxted, Dowd, Acute central cord syndrome without bony injury, Injury, 14, pp. 103-106, (1982)

[9]

Scher, Hyperextension trauma in the elderly: An easily overlooked spinal injury, J Trauma, 23, pp. 1066-1068, (1983)

[10]

Good, Couch, Wacaser, “Numb, clumsy hands” and high cervical spondylosis, Surg Neurol, 22, pp. 285-291, (1984)

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