title: A case of pediatric thoracic SCIWORA following minor trauma.
abstract: METHODS
  A case of spinal cord injury without radiological abnormality (SCIWORA) at the thoracic level is reported. A 14-year-old girl fell backwards from a low chair and hit her back on the floor. It left her bent forward markedly. After taking a nap, she found herself unable to walk. Neurological examination revealed flaccid paraparesis, hypalgesia below the L-1 level, and bladder and bowel dysfunction. MR imaging revealed marked edema in the thoracic spinal cord.
  
  
  CONCLUSIONS
  The patient was treated conservatively and showed gradual improvement in her symptoms, finally becoming independently ambulant. The spinal cord edema was less pronounced on the follow-up MR imaging. The clinical course and findings of MR imaging in this case demonstrated mid-thoracic SCIWORA caused by hyperflexion of the thoracic spine.
authors.affiliation: Department of Neurosurgery, Hokkaido University Graduate School of Medicine, North 15, West 7, Kita-ku, Sapporo 060-8638, Japan. satoyama@lime.ocn.ne.jp
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamaguchi
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Hida
authors.forename: Minoru
authors.initials: M
authors.lastname: Akino
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Yano
authors.forename: Hisatoshi
authors.initials: H
authors.lastname: Saito
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Iwasaki
mesh_terms: D000293:Adolescent; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008279:Magnetic Resonance Imaging; D020335:Paraparesis / Q000175:diagnosis* / Q000209:etiology*; D013116:Spinal Cord / Q000473:pathology; D013119:Spinal Cord Injuries / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013904:Thoracic Vertebrae