A case report: Paediatric surfer's myelopathy

Scatchard, Rebecca; Rosa, Joao Alves; Bowen, Philippa; Mortimer, Alex; Sharples, Peta M.; Lux, Andrew

doi:10.1016/j.ejpn.2017.09.011

Cited by 9 publications

(3 citation statements)

References 5 publications

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“…Though the exact etiology of SM remains unclear, there are several postulated mechanisms, most vascular in origin; these include avulsion of perforating vessels, vasospasm, and ischemia near watershed areas [5,6]. The artery of Adamkiewicz may also be directly involved through abnormal structure with stenotic regions or thrombotic infarction [14,15]. It has been suggested that lower thoracic cord perfusion especially depends on the artery of Adamkiewicz due to poor collateralization of the anterior spinal artery in this region [16].…”

Section: Discussionmentioning

confidence: 99%

“…Though the body of literature remains small, SM has recently been increasingly reported with many cases describing patients under 30 years old [5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Magnetic resonance imaging (MRI) is often completed on initial presentation and almost invariably shows T2 signal abnormalities in the thoracolumbar cord [6].…”

Section: Introductionmentioning

confidence: 99%

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Surfer’s myelopathy: an atypical case presentation

Gilbert

Kirshblum

Miller

et al. 2020

Spinal Cord Ser Cases

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Introduction Surfer's myelopathy (SM) is a rare nontraumatic spinal cord injury seen in beginner surfers and people participating in activities involving prolonged lumbar hyperextension. The majority of cases of SM have been reported in younger patients under 40 years of age, with initial magnetic resonance imaging (MRI) showing T2 signal abnormalities. We present a case of SM in a person over 40 years old whose initial MRI did not show the T2 signal abnormalities usually reported in SM. Case presentation A 43-year-old male in good physical condition went surfing for the first time and developed generalized back pain that progressed to include bilateral lower extremity pain with numbness and weakness. MRI within 11-12 h of symptom onset revealed no acute T2 signal abnormalities. At the time of initial presentation he had classification consistent with a T12 American Spinal Injury Association Impairment Scale (AIS) A and at rehabilitation discharge, 6 weeks later, he had classification of T12 AIS B. Discussion Not all cases of SM present similarly. As surfing is a popular sport, education on early identification of warning signs is crucial for instructors and trainees, as well as health care providers. Our case highlights the importance of a comprehensive history and physical examination in developing the diagnosis, especially in presentations that are not classic in nature.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surfer’s myelopathy: an atypical case presentation

Gilbert

Kirshblum

Miller

et al. 2020

Spinal Cord Ser Cases

View full text Add to dashboard Cite

show abstract

“…Etiology is variable as traditional stroke risk factors are less applicable. A growing body of literature describes hyperextension‐induced ischemia in the ASA territory called surfer's myelopathy . Because this nontraumatic vascular dynamic compression, vasospasm, or thrombotic infarction has not been described in the dorsal cord, we report a case of PSA infarct caused by hyperextension.…”

Section: Extensive Laboratory Workup Performed To Identify Cause Of Smentioning

confidence: 96%