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    Go to the top of the page   ID: 20011127110826 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Post traumatic lesion of the thoracic spinal cord
    A Schlüter, L Hinz. Post traumatic lesion of the thoracic spinal cord. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011127110826


     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    A. Schlüter, L. Hinz (Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    15 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Spinal canal / Myelon  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    After a bicycle accident (fall), the 15 year-old student developed a partial paralysis of both legs.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Traumatic divulsion of the hind edge of the 7th thoracic vertebra, which caused the compression of the myelon. This is shown in the ossic divulsion as deflected.

    Next to the multisegmental alteration of the spinal structures (see below), the fracture to the 7th thoracic vertebra is labelled instable due to the involvement of the hind edge.  

     
     Pediatric Radiology CasesRadiological findings:


    CT 1 <- view CT 1

    CT 1: MPR - Sagittal






    CT 2 <- view CT 2

    CT 2: Transversal






    MRI 1 <- view MRI 1

    MRI 1: Sagittal






    MRI 2 <- view MRI 2

    MRI 2: Sagittal






    MRI 3 <- view MRI 3

    MRI 3: Transversal

    Due to the pressure of the hind edge of the 7th thoracic vertebra, there is an obvious compression of the myelon in the level of the base plate ventrally (slightly paramedianally). In the T2-weighted image, there is a hyperintese depiction of the myelon in the region of the compression as a representation of a beginning myelon edema.

    Edema of the marrow of the 5th, 6th, 7th and 8th thoracic vertebrae as a representation of the trauma. Pathologic ventral height decrease of the 8th thoracic vertebra (compression fracture).

    Obvious edematously change of the paravertebral soft tissue (with some proof of blood) in the level of the thoracic vertebra 4-9, laterally as well as dorsally (dorsal to the spinous process).




     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    The remission of the neurologic deficits are dependent on the primary alteration of the myelon and the time frame until the decompression surgery.

    Obligatory surgical indication!  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Posttraumatic, post traumatic, post trauma, lesion, thoracic spinal cord, spine trauma, spine injury, spinal cord injury, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    A Schlüter, L Hinz. Post traumatic lesion of the thoracic spinal cord. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011127110826  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Spinal canal / Myelon
    or in the region: Spinal canal / Myelon
    or in the tissue/organ:
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are CT-images available for this case. [ CT ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Post traumatic lesion of the thoracic spinal cord
    A Schlüter, L Hinz. Post traumatic lesion of the thoracic spinal cord. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011127110826


     

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    Post traumatic lesion of the thoracic spinal cord
    Other cases by these authors:

    Search A. Schlüter in Medline A. Schlüter (7)   
    Search L. Hinz in Medline L. Hinz (5)   

    Post traumatic lesion of the thoracic spinal cord  
     
    Post traumatic lesion of the thoracic spinal cord
    A Schlüter, L Hinz. Post traumatic lesion of the thoracic spinal cord. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011127110826


     
     
    Post traumatic lesion of the thoracic spinal cord
    A Schlüter, L Hinz. Post traumatic lesion of the thoracic spinal cord. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011127110826


     

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    Post traumatic lesion of the thoracic spinal cord
    A Schlüter, L Hinz. Post traumatic lesion of the thoracic spinal cord. PedRad [serial online] vol 1, no. 11.
    URL: www.PedRad.info/?search=20011127110826


     




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