title: Delayed-onset paraplegia from improper seat belt use.
abstract: Presented is the case report of a toddler who suffered delayed-onset paraplegia after a motor vehicle accident. An improperly used adult lap belt is postulated as the etiology causing a probable vascular event with ischemic injury to the distal cord; however, recurrent cord injury from presumed occult spinal instability was a possible explanation. This case highlights that the syndrome of spinal cord injury without radiographic abnormality can present subtly (in this case, foot "pain"), that full neurologic manifestations can be delayed, and that good neurologic recovery is possible.
authors.affiliation: Department of Emergency Medicine, Tuality Community Hospital, Hillsboro, Oregon.
authors.forename: M J
authors.initials: MJ
authors.lastname: O'Neill
mesh_terms: D000063:Accidents, Traffic; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005684:Gait; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D010264:Paraplegia / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation; D012622:Seat Belts / Q000009:adverse effects*; D013119:Spinal Cord Injuries / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation; D013997:Time Factors