Delayed, transient quadriplegia; the importance of spinal cord perfusion

BMJ Case Rep. 2022 May 6;15(5):e246501. doi: 10.1136/bcr-2021-246501.

Abstract

Transient quadriplegia developed in a man, a short time after, he sustained a cervical spinal fracture in a surfing mishap. The neurological deficit appeared complete, and developed some 30 min after the initial injury in the presence of moderate hypotension. It resolved over a further period of 1-2 hours following restoration of normotension. This case highlights the importance of the maintenance of spinal perfusion pressure in the acute management of traumatic spinal injury.

Keywords: Adult intensive care; Anaesthesia; Orthopaedics; Trauma; Trauma CNS /PNS.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Male
  • Perfusion
  • Quadriplegia / etiology
  • Spinal Cord / diagnostic imaging
  • Spinal Cord Injuries* / complications