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| Year : 2000 | Volume
: 5
| Issue : 4 | Page : 160-163 |
Spinal cord injury without radiological abnormality (SC/WORA) :a diagnosis not to be missed
SK Chowdhary, S Chowdhary, M Chitnis, F Goosen, C Lazarus
Department of Pediatric Surgery East London Hospital Complex Cambridge, East London, South Africa
Correspondence Address:
SK Chowdhary
Department of Pediatric Surgery East London Hospital Complex Cambridge, East London
South Africa
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: The authors report a case of occipital injury in an infant, in domestic violence. On examination, the child was found to be in respiratory distress and comatose; she was not moving her limbs. She was admitted as a case of non-accidental injury (NAI) and managed on the lines of head injury. A SCIWORA (Spinal cord injury without radiological abnormality) was diagnosed 36 hours later. A spinal cord injury without bone injury may be missed in a small child. A high index of suspicion must be maintained for the diagnosis of a SCIWORA in such patients, to prevent further secondary spinal cord damage.
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