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Japanese

Slowly Progressive Neurologic Deterioration after Cervical Spinal Cord Injury : A case report Makoto Sugita 1 , Msaaki Sagae 2 , Masaetsu Satou 1 , Hiromitsu Kuwazoe 1 , Nobuyuki Torii 1 , Shigeru Inoue 1 , Yoshihiro Katou 1 , Hiroshi Takei 2 1Department of Orthopaedic Surgery, Sagae General Hospital 2Department of Orthopaedic Surgery, Yamagata University Keyword: cervical spinal cord injury , 頚髄損傷 , neurologic deterioration , 神経症状悪化 , spinal blood flow , 脊髄血行 pp.827-831
Published Date 2003/6/1
DOI https://doi.org/10.11477/mf.1408100743
  • Abstract
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 We report a cace of slowly progressive neurologic deterioration after cervical spinal cord injury without bony injury. A 57-year-old man fell from a height of 5meter. He developed C6 incompletely paralysis and complete paralysis below C7 with the injury. MRI revealed multiple cervical spinal canal stenosis and T2 high intensity area at the cord of C5/6 area. He was also suffering from low blood pressure for a couple of following days. The level of paralysis started to progress 2 days after injury. His automatic breathing was stopped at day 11. After cervical laminoplasty performed at day 16, the automatic breathing was recovered. Insufficiency of the spinal cord circulation with low blood pressure may cause the late onset of the neurologic deterioration.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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