Birth-related spinal cord injuries: a multicentric review of nine cases

Vialle, Raphaël; Piétin-Vialle, Claire; Vinchon, Matthieu; Dauger, Stéphane; Ilharreborde, Brice; Glorion, Christophe

doi:10.1007/s00381-007-0437-z

Cited by 30 publications

(15 citation statements)

References 28 publications

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“…Breech presentation complicated by entrapped fetal head has been found to be responsible for many reported cases [ 18 ]. Vertebral fractures or spinal dislocations can be associated [ 18 ]. A lateral radiograph of the spine should be obtained to demonstrate vertebral fracture/subluxation.…”

Section: Injuries To the Spinal Cord And Neckmentioning

confidence: 99%

Mechanical birth-related trauma to the neonate: An imaging perspective

Chaturvedi

Stanescu

et al. 2018

Insights Imaging

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Mechanical birth-related injuries to the neonate are declining in incidence with advances in prenatal diagnosis and care. These injuries, however, continue to represent an important source of morbidity and mortality in the affected patient population. In the United States, these injuries are estimated to occur among 2.6% of births. Although more usual in context of existing feto-maternal risk factors, their occurrence can be unpredictable. While often superficial and temporary, functional and cosmetic sequelae, disability or even death can result as a consequence of birth-related injuries. The Agency for Healthcare research and quality (AHRQ) in the USA has developed, through expert consensus, patient safety indicators which include seven types of birth-related injuries including subdural and intracerebral hemorrhage, epicranial subaponeurotic hemorrhage, skeletal injuries, injuries to spine and spinal cord, peripheral and cranial nerve injuries and other types of specified and non-specified birth trauma. Understandably, birth-related injuries are a source of great concern for the parents and clinician. Many of these injuries have imaging manifestations. This article seeks to familiarize the reader with the clinical spectrum, significance and multimodality imaging appearances of neonatal multi-organ birth-related trauma and its sequelae, where applicable. Teaching points • Mechanical trauma related to birth usually occurs with pre-existing feto-maternal risk factors.• Several organ systems can be affected; neurologic, musculoskeletal or visceral injuries can occur.• Injuries can be mild and transient or disabling, even life-threatening.• Imaging plays an important role in injury identification and triage of affected neonates.Electronic supplementary materialThe online version of this article (10.1007/s13244-017-0586-x) contains supplementary material, which is available to authorized users.

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Section: Injuries To the Spinal Cord And Neckmentioning

confidence: 99%

Mechanical birth-related trauma to the neonate: An imaging perspective

Chaturvedi

Stanescu

et al. 2018

Insights Imaging

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“…Neonatal spinal cord injury resulted from birth trauma has been noted since the nineteenth century (1). The exact mechanism of birth related spinal cord injury is unclear, but is believed to be caused by excessive extraction, rotation, or hyperextension of the baby's neck during delivery such as shoulder dystocia, breech vaginal delivery, and difficult deliveries with forceps or vacuum assistance (2)(3)(4)(5). The upper and middle cervical spine are injured mostly in vertex delivery, and the lower cervical and upper thoracic region are involved majorly in breech delivery (3).…”

Section: Introductionmentioning

confidence: 99%

Unusual Presentations of Birth Related Cervical Spinal Cord Injury

et al. 2020

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Neonatal spinal cord injury is a rare complication of birth trauma by difficult delivery. The typical manifestations are often catastrophic, include decreased or absent movement, loss of reflexes, apnea or periodic breathing, and a lack of response to painful stimulation. The outcome is usually fatal or severe, with long-term sequelae of respiratory insufficiency, limb weakness, or even paralysis of the limbs. We described a male neonate with a C2 spinal cord injury who was born smoothly by vaginal delivery and was unnoticed initially due to unusual subtle symptoms. He presented with a hoarse voice, swallowing dysfunction, decreased movement of upper limbs, and hypercapnia. After receiving corticosteroid therapy and rehabilitation, he recovered much except that he still needed ventilator support at night.

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“…Additionally, the model can also be useful for better understanding the pathological processes related to child SCI, a scarcely researched field. In fact, clinical studies report a relatively high occurrence of SCI among very young children (Bilston and Brown, 2007;Pieretti-Vanmarcke et al, 2009), even at perinatal age (Vialle et al, 2008).…”

Section: Regional and Cellular Specificity Of Mpss Protectionmentioning

confidence: 98%