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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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 | Images to this case: |  [ CT ]  [ MRI ]  [ All ] | |
| | Author/s: | A. Schlüter, L. Hinz (Halle) | |
| | Email Address: | Viewable for logged on visitors (Log on) | |
| | Age: | 15 Years | |
| | Gender: | Male | |
| | Region-Organ: | Spinal canal / Myelon | |
| | Most likely etiology: | physical | |
| | History: | After a bicycle accident (fall), the 15 year-old student developed a partial paralysis of both legs. | |
| | Pathomorphology 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. | |
| | Radiological findings: |
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CT 1: MPR - Sagittal
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CT 2: Transversal
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MRI 1: Sagittal
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MRI 2: Sagittal
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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).
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| | Diagnosis confirmation: | Total constellation (Consens) | |
| | Which DD would be also possible with the radiological findings: | N/A | |
| | Course / 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! | |
| | Comments of the author about the case: | N/A | |
| | First description / History: | N/A | |
| | Literature: | N/A | |
| | Keywords: | Posttraumatic, post traumatic, post trauma, lesion, thoracic spinal cord, spine trauma, spine injury, spinal cord injury, child, childhood, pediatric radiology | |
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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 |
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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
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| | Images to this case: | [ CT ] [ MRI ] [ 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
| |
Search similar cases in:
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Post traumatic lesion of the thoracic spinal cord
Other cases by these authors:
 A. Schlüter (7) 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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