RT Journal Article
SR Electronic
T1 Spinal cord ischaemic injury while playing in a playground
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e242155
DO 10.1136/bcr-2021-242155
VO 14
IS 7
A1 Joana de Brito Chagas
A1 Candida Cancelinha
A1 Rui Pedro Pais
A1 Carmen Costa
YR 2021
UL http://casereports.bmj.com/content/14/7/e242155.abstract
AB Spinal cord ischaemia is a rare condition in children in which imaging diagnosis can be difficult and treatment guidelines are not well established. We describe a case of a previously healthy 13-year-old girl admitted to the emergency department with an acute flaccid paralysis of the lower limbs, abdominal and dorsal pain, and bladder dysfunction. A few hours earlier, she had been playing on a swing with hyperextension and an arched back position. Spinal cord MRI was normal in the first hours, but ischaemic signs were described in a second examination performed some hours later. We discuss the extensive investigation for differential diagnosis and the management of this case.