Neuropraxia of the cervical spinal cord following cervical spinal cord trauma: a report of five patients.
Neuropraxia of the cervical spinal cord is a rare condition which is almost exclusively reported in American football players following cervical hyperextension or hyperflexion trauma. In this entity-neurological symptoms of both arms and legs for a period of up to 15 minutes are observed with complete recovery. We report the characteristics of five patients not involved in contact sport activities with a neuropraxia of the spinal cord following cervical trauma. In four of the five patients, this syndrome was associated with a cervical canal stenosis. Surgical decompression was performed in two patients with progressive neurological symptoms after an initial period of recovery. The cases illustrates that although neuropraxia of the spinal cord is usually seen in athletes, also other persons may be at risk for developing this condition, especially when a preexisting spinal stenosis is present. Patients who experienced neuropraxia of the spinal cord should thus be evaluated carefully for the presence of cervical spinal cord abnormalities.
Department of Neurology, Canisius-Wilhelmina Hospital, Nijmegen, The Netherlands.
H J
HJ
Bernsen
A
A
Koetsveld
C W
CW
Frenken
G J
GJ
van Norel
D000328:Adult; D002574:Cervical Vertebrae / Q000473:pathology* / Q000503:physiopathology; D018450:Disease Progression; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000473:pathology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D020127:Recovery of Function / Q000502:physiology; D013116:Spinal Cord / Q000473:pathology* / Q000503:physiopathology; D013119:Spinal Cord Injuries / Q000150:complications / Q000209:etiology* / Q000473:pathology* / Q000628:therapy; D013130:Spinal Stenosis / Q000209:etiology* / Q000473:pathology* / Q000503:physiopathology; D016896:Treatment Outcome