2004
DOI: 10.1159/000076573
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In utero Spontaneous Cervical Thoracic Epidural Hematoma Imitating Spinal Cord Birth Injury

Abstract: A neonate male born cesarian due to a breech presentation was noted to have no spontaneous movements of the limbs after delivery. Radiographs were not demonstrative of pathology. However, MRI revealed a large intraspinal mass with significant distortion of the cervicothoracic spinal cord. At operation, a brown, fibro-gelatinous, moderately adherent mass was evident extradurally dorsal to the spinal cord. It was noted to extend anterolaterally to the left such that the cord was deviated anteriorly and to the ri… Show more

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Cited by 18 publications
(10 citation statements)
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“…29 Longitudinal traction during vaginal breech deliveries and rotational forces Ͼ90°with torsion of the neck can result in a dislocation injury and spine fracture. [3][4][5][6]15,26 The use of forceps may further increase stretch and pressure on the infant's neck. 8,10 Table 1 provides a list of factors that increase the risk of SCI.…”
Section: Etiology Of and Predisposing Factors For Spinal Cord Injurymentioning
confidence: 99%
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“…29 Longitudinal traction during vaginal breech deliveries and rotational forces Ͼ90°with torsion of the neck can result in a dislocation injury and spine fracture. [3][4][5][6]15,26 The use of forceps may further increase stretch and pressure on the infant's neck. 8,10 Table 1 provides a list of factors that increase the risk of SCI.…”
Section: Etiology Of and Predisposing Factors For Spinal Cord Injurymentioning
confidence: 99%
“…9 Magnetic resonance imaging gives the best resolution of subacute and chronic lesions and provides good visualization of the cartilage as well as the bone and spinal cord. 3,4,6,8,9,26 Spinal cord injury may occur in the absence of radiographic evidence. This type of injury is often termed SCI without radiographic abnormality (SCIWORA).…”
Section: Diagnostics To Identify Spinal Cord Injurymentioning
confidence: 99%
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