Nontraumatic myelopathy associated with surfing.
OBJECTIVE
Ischemic nontraumatic spinal cord injury associated with surfing is a novel diagnosis believed to be related to prolonged spine hyperextension while lying prone on the surfboard. Only 9 cases have been documented. This report features possible risk factors, etiology, diagnostic imaging, and outcomes of surfer's myelopathy.


METHODS
Case report.


RESULTS
A 37-year-old man developed T11 American Spinal Injury Association (ASIA) A paraplegia shortly after surfing. The clinical history and magnetic resonance imaging findings were compatible with an ischemic insult to the distal thoracic spinal cord. Our patient did not have any of the proposed risk factors associated with this condition, and, contrary to most reports, he sustained a complete spinal cord lesion without neurological recovery by 8 weeks post injury.


CONCLUSIONS
Surfer's myelopathy, because of its proposed mechanism of injury, is amenable to medical intervention. Increased awareness of this condition may lead to early recognition and treatment, which should contribute to improved neurological outcomes.
University of South Florida, College of Medicine, Tampa, Florida, USA.
Israel
I
Avilés-Hernández
Inigo
I
García-Zozaya
Jorge M
JM
DeVillasante
D000328:Adult; D001265:Athletic Injuries / Q000175:diagnosis*; D006801:Humans; D008297:Male; D012307:Risk Factors; D020760:Spinal Cord Ischemia / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy