Spinal cord injury without radiographic abnormalities (SCIWORA) in a preschool child: A case report

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Saeed Bin Ayaz
Zaheer Ahmed Gill
Sumeera Matee
Atif Ahmed Khan

Abstract

A 3½ year old boy presented at the Soldiers' Family Rehabilitation Unit, ArmedForces Institute of Rehabilitation Medicine, Rawalpindi with 2½ years' historyof weakness and numbness in legs and loss of control over bowel and bladderfollowing run over by a vehicle. At presentation, the child was unable to standwithout support with power of 2/5 in iliopsoas, 3/5 in extensor hallucis longusand 0/5 in ankle plantar flexors on both sides. The power in quadriceps was0/5 on right and 2/5 on left side. The knee and ankle jerks were absent bilaterally.Sensations to both light touch and pin prick were impaired below T9 levelon both sides. Perianal sensations were intact but voluntary anal contractionwas absent. He was categorized as a case of Spinal Cord Injury T9 as classifiedby American Spinal Injury Association (ASIA) with impairment Scale C. X-Raysand Magnetic Resonance Imaging Scans were normal. These investigationsaided by relevant clinical features qualified him as a case of Spinal Cord Injurywithout Radiographic Abnormalities.

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How to Cite
1.
Ayaz SB, Gill ZA, Matee S, Khan AA. Spinal cord injury without radiographic abnormalities (SCIWORA) in a preschool child: A case report. J Postgrad Med Inst [Internet]. 2014 Apr. 17 [cited 2024 Mar. 29];28(2). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1557
Section
Case Report
Author Biographies

Saeed Bin Ayaz, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, Pakistan

Major

Zaheer Ahmed Gill, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, Pakistan

Major

Sumeera Matee, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, Pakistan

Major

Atif Ahmed Khan, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi, Pakistan

Major