[Whiplash injuries of the cervical spine. Neurologic contribution to diagnosis. Therapy and expert evaluation].
The cervical spine is an extremely complex functional unit and has always been the subject of impassioned discussions among surgeons, orthopedic specialists and neurologists. In the presence of injuries affecting this section of the spine, which sometimes have grave consequences--including implications for legal insurance aspects, neurologists are usually at the end of the line when it comes to diagnosis and treatment. In fact, in view of the clinical and technical neurophysiological options available to neurologists, it would be desirable for them to be involved as early as possible. In this paper the relative value of neurology, compared with orthopedics and surgery, in the diagnosis and treatment of whiplash injury to the cervical spine is discussed. The newer options available--particularly in neurophysiology--are highlighted, as are the differential diagnosis and problems concerned with official expert assessments, which also involve other specialties.
Welter
F L
FL
Hardtwaldklinik I, Bad Zwesten.
Berwanger
C
C
D002574:Cervical Vertebrae / Q000293:injuries / Q000294:innervation / Q000503:physiopathology; D003937:Diagnosis, Differential; D005104:Expert Testimony; D006801:Humans; D008279:Magnetic Resonance Imaging; D009333:Neck / Q000294:innervation; D013127:Spinal Nerves / Q000293:injuries / Q000503:physiopathology; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D014911:Whiplash Injuries / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy