Post-traumatic syringomyelia producing paraplegia in an infant. Sgouros, S. & Sharif, S. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 24(3):357-60; discussion 361-4, 3, 2008. ![Post-traumatic syringomyelia producing paraplegia in an infant. [link]](https://bibbase.org/img/filetypes/link.svg "link")
Website abstract bibtex BACKGROUND Post-traumatic syringomyelia is described in adults after spinal trauma but extremely rarely seen in children, especially in the first year of life. MATERIALS AND METHODS We describe a boy who, at the age of 7 months, suffered spinal trauma during a car accident when he was held at his mother's lap and suffered extreme flexion of his torso. He suffered a mid-shaft fracture of his right femur, treated with hip spica for 6 weeks. After removal of the spica, it was noticed that he was not moving his legs, but he had preserved pain sensation in the lower half of his trunk and legs. A spine magnetic resonance scan performed 2 months after the injury showed a compressed wedge fracture of the body of T5 vertebra, kyphosis and a large syringomyelia cavity extending from T4 to T8. He had two operations to control the syringomyelia with laminotomy-laminoplasty, dissection of the arachnoid adhesions initially and drainage of the cavity on the second operation, with only modest success. He remains paraplegic 7 years after the injury. He has received thoracic brace immediately after the first spinal operation, which avoided kyphosis. DISCUSSION Spinal trauma is rare in the first year of life; hence, post-traumatic syringomyelia is very rarely seen in infants. Nevertheless, it should be suspected after a major trauma, in the presence of paraplegia. Surgical treatment of post-traumatic syringomyelia in young children has the additional consideration of post-laminotomy kyphosis; hence, thoracic brace should be used early.
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title = {Post-traumatic syringomyelia producing paraplegia in an infant.},
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year = {2008},
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abstract = {BACKGROUND Post-traumatic syringomyelia is described in adults after spinal trauma but extremely rarely seen in children, especially in the first year of life. MATERIALS AND METHODS We describe a boy who, at the age of 7 months, suffered spinal trauma during a car accident when he was held at his mother's lap and suffered extreme flexion of his torso. He suffered a mid-shaft fracture of his right femur, treated with hip spica for 6 weeks. After removal of the spica, it was noticed that he was not moving his legs, but he had preserved pain sensation in the lower half of his trunk and legs. A spine magnetic resonance scan performed 2 months after the injury showed a compressed wedge fracture of the body of T5 vertebra, kyphosis and a large syringomyelia cavity extending from T4 to T8. He had two operations to control the syringomyelia with laminotomy-laminoplasty, dissection of the arachnoid adhesions initially and drainage of the cavity on the second operation, with only modest success. He remains paraplegic 7 years after the injury. He has received thoracic brace immediately after the first spinal operation, which avoided kyphosis. DISCUSSION Spinal trauma is rare in the first year of life; hence, post-traumatic syringomyelia is very rarely seen in infants. Nevertheless, it should be suspected after a major trauma, in the presence of paraplegia. Surgical treatment of post-traumatic syringomyelia in young children has the additional consideration of post-laminotomy kyphosis; hence, thoracic brace should be used early.},
bibtype = {article},
author = {Sgouros, Spyros and Sharif, Salman},
journal = {Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery},
number = {3}
}
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MATERIALS AND METHODS We describe a boy who, at the age of 7 months, suffered spinal trauma during a car accident when he was held at his mother's lap and suffered extreme flexion of his torso. He suffered a mid-shaft fracture of his right femur, treated with hip spica for 6 weeks. After removal of the spica, it was noticed that he was not moving his legs, but he had preserved pain sensation in the lower half of his trunk and legs. A spine magnetic resonance scan performed 2 months after the injury showed a compressed wedge fracture of the body of T5 vertebra, kyphosis and a large syringomyelia cavity extending from T4 to T8. He had two operations to control the syringomyelia with laminotomy-laminoplasty, dissection of the arachnoid adhesions initially and drainage of the cavity on the second operation, with only modest success. He remains paraplegic 7 years after the injury. He has received thoracic brace immediately after the first spinal operation, which avoided kyphosis. DISCUSSION Spinal trauma is rare in the first year of life; hence, post-traumatic syringomyelia is very rarely seen in infants. Nevertheless, it should be suspected after a major trauma, in the presence of paraplegia. Surgical treatment of post-traumatic syringomyelia in young children has the additional consideration of post-laminotomy kyphosis; hence, thoracic brace should be used early.","bibtype":"article","author":"Sgouros, Spyros and Sharif, Salman","journal":"Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery","number":"3","bibtex":"@article{\n title = {Post-traumatic syringomyelia producing paraplegia in an infant.},\n type = {article},\n year = {2008},\n identifiers = {[object Object]},\n pages = {357-60; discussion 361-4},\n volume = {24},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/18026959},\n month = {3},\n id = {4e5b2a29-0fe0-3b3b-beb0-641cf46593dd},\n created = {2016-09-13T00:48:18.000Z},\n accessed = {2016-09-05},\n file_attached = {false},\n profile_id = {c7856f8a-4963-3e63-90cb-57986d91c9b0},\n group_id = {1fd78437-06d9-37cf-b89d-417b03940b66},\n last_modified = {2016-09-13T00:58:55.000Z},\n read = {false},\n starred = {true},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n abstract = {BACKGROUND Post-traumatic syringomyelia is described in adults after spinal trauma but extremely rarely seen in children, especially in the first year of life. 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DISCUSSION Spinal trauma is rare in the first year of life; hence, post-traumatic syringomyelia is very rarely seen in infants. Nevertheless, it should be suspected after a major trauma, in the presence of paraplegia. Surgical treatment of post-traumatic syringomyelia in young children has the additional consideration of post-laminotomy kyphosis; hence, thoracic brace should be used early.},\n bibtype = {article},\n author = {Sgouros, Spyros and Sharif, Salman},\n journal = {Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery},\n number = {3}\n}","author_short":["Sgouros, S.","Sharif, S."],"urls":{"Website":"http://www.ncbi.nlm.nih.gov/pubmed/18026959"},"bibbaseid":"sgouros-sharif-posttraumaticsyringomyeliaproducingparaplegiainaninfant-2008","role":"author","downloads":0},"search_terms":["post","traumatic","syringomyelia","producing","paraplegia","infant","sgouros","sharif"],"keywords":[],"authorIDs":[]}