2021
DOI: 10.1007/s00415-021-10775-4
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Is Surfer’s myelopathy an acute hyperextension-induced myelopathy? A systematic synthesis of case studies and proposed diagnostic criteria

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Cited by 5 publications
(9 citation statements)
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“…Although the cause of surfer’s myelopathy is described as hyperextension in novice surfers, it has also been reported to occur in other cervical extension situations. 9 Similarly, because hyperextension affects the spinal cord, we think that hyperflexion can cause remote thoracic spinal cord injury. In the Concorde position, because the spinal cord is arched by cervical flexion and the body position, spinal hypoperfusion is likely to occur at the most stretched lesion, which would be a lesion of the upper thoracic spinal cord.…”
Section: Discussionmentioning
confidence: 99%
“…Although the cause of surfer’s myelopathy is described as hyperextension in novice surfers, it has also been reported to occur in other cervical extension situations. 9 Similarly, because hyperextension affects the spinal cord, we think that hyperflexion can cause remote thoracic spinal cord injury. In the Concorde position, because the spinal cord is arched by cervical flexion and the body position, spinal hypoperfusion is likely to occur at the most stretched lesion, which would be a lesion of the upper thoracic spinal cord.…”
Section: Discussionmentioning
confidence: 99%
“… 23 The pathophysiology may be shared in part with surfer’s myelopathy, a condition that develops in the aftermath of abrupt hyperextension. 24 Intersegmental artery dissection proximal to the artery of Adamkiewicz was reported recently as a cause of spontaneous SCI. 25 The diagnosis required catheter angiography, a procedure that was performed in less than one-fifth of our cohort.…”
Section: Discussionmentioning
confidence: 99%
“…This tool is composed of eight questions distributed in four domains. Six questions were included, each one rated 1 if considered correct as used in previous studies 17,18 . Because the diseases under study were not focused on adverse effects, the maximum score was 6 and the results were categorized as low (1 and 2), moderate (3 and 4), and high (5 and 6) quality.…”
Section: Methodsmentioning
confidence: 99%