Spinal cord injury without radiographic abnormality in adults

S. K. Gupta, K. Rajeev, V. K. Khosla, B. S. Sharma, Paramjit, S. N. Mathuriya, A. Pathak, M. K. Tewari, A. Kumar

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Spinal cord injury without fractures or bony malalignment on either plain radiographs or computed tomography (SCIWORA) is most commonly found in the paediatric age group. In recent years, magnetic resonance imaging, (MRI) has been used to evaluate these patients. The present communication describes SCIWORA in 15 adult patients investigated by MRI. Of the 151 patients with spinal cord injury in 1 year, 15 adult patients had cervical SCIWORA. All patients were evaluated by MRI. The age ranged from 20-60 years. Eleven patients had partial cord injury, two had a complete cord syndrome while two had a central cord syndrome. MRI demonstrated an intervertebral disc prolapse in six patients, intramedullary haematoma/contusion in four and cord oedema in four patients. One patient had multiple disc prolapses and associated intramedullary haematoma. Patients with disc prolapse were operated upon and all showed neurological improvement. The rest of the patients were managed conservatively. There was mild improvement in patients with intramedullary haematomas while those with cord oedema alone showed moderate recovery. The pathogenesis of adult SCIWORA is possibly different from that in paediatric age group. Most of the patients with SCIWORA show some abnormality on MR imaging. MRI should therefore be done in all patients with spinal cord injury for diagnostic and prognostic purposes.

Original languageEnglish
Pages (from-to)726-729
Number of pages4
JournalSpinal Cord
Volume37
Issue number10
Publication statusPublished - 1999

Fingerprint

Spinal Cord Injuries
Intervertebral Disc Displacement
Magnetic Resonance Imaging
Hematoma
Central Cord Syndrome
Edema
Age Groups
Pediatrics
Contusions
Intervertebral Disc
Tomography

Keywords

  • Cord
  • Radiology
  • SCIWORA
  • Spine
  • Trauma

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Gupta, S. K., Rajeev, K., Khosla, V. K., Sharma, B. S., Paramjit, Mathuriya, S. N., ... Kumar, A. (1999). Spinal cord injury without radiographic abnormality in adults. Spinal Cord, 37(10), 726-729.

Spinal cord injury without radiographic abnormality in adults. / Gupta, S. K.; Rajeev, K.; Khosla, V. K.; Sharma, B. S.; Paramjit; Mathuriya, S. N.; Pathak, A.; Tewari, M. K.; Kumar, A.

In: Spinal Cord, Vol. 37, No. 10, 1999, p. 726-729.

Research output: Contribution to journalArticle

Gupta, SK, Rajeev, K, Khosla, VK, Sharma, BS, Paramjit, Mathuriya, SN, Pathak, A, Tewari, MK & Kumar, A 1999, 'Spinal cord injury without radiographic abnormality in adults', Spinal Cord, vol. 37, no. 10, pp. 726-729.
Gupta SK, Rajeev K, Khosla VK, Sharma BS, Paramjit, Mathuriya SN et al. Spinal cord injury without radiographic abnormality in adults. Spinal Cord. 1999;37(10):726-729.
Gupta, S. K. ; Rajeev, K. ; Khosla, V. K. ; Sharma, B. S. ; Paramjit ; Mathuriya, S. N. ; Pathak, A. ; Tewari, M. K. ; Kumar, A. / Spinal cord injury without radiographic abnormality in adults. In: Spinal Cord. 1999 ; Vol. 37, No. 10. pp. 726-729.
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