Spinal cord injury without radiographic abnormality (SCIWORA)

Real spinal
cord injury without radiologic abnormality in pediatric patient with tight filum terminale following minor trauma: a case report. a A nodular T2 isointensity shadow was showed at the dorsal of the conus, which was located at L1 level with moderate swelling. b The sagittal MRI images showed longitudinally extended intramedullary patchy T2 hyperintensity at the T9-L1 level. c There were contusion and laceration in the cone and some contusion and laceration tissue outflew the soft spinal meninges
bmcpediatr.biomedcentral.com • CC-by-4.0
Real spinal
cord injury without radiologic abnormality in pediatric patient with tight filum terminale following minor trauma: a case report. a The sagittal MRI images showed longitudinally extended diffused intramedullary patchy T2 hyperintensity at the T12-L1 level. b The conus was located at L1 level with mild swelling. c Contusion in the conus, terminal filum fibrolipoma and TFT were found in the operation
bmcpediatr.biomedcentral.com • CC-by-4.0
Real spinal
cord injury without radiologic abnormality in pediatric patient with tight filum terminale following minor trauma: a case report. a The sagittal MRI images showed longitudinally extended diffused intramedullary patchy T2 hyperintensity at the T6-T10 level. b The T1 transverse-sectional MRI of sacral vertebra showed terminal filum fibrolipoma. c Terminal filum fibrolipoma and TFT were found in the operation
bmcpediatr.biomedcentral.com • CC-by-4.0
Preschooler
not moving their lower extremities after a MVA. Sagittal CT without contrast of the spine (left) shows no fractures. Sagittal T2 (middle) and STIR (right) MRI without contrast of the cervical spine shows a round high signal intensity lesion in the spinal cord at T1-T2.The diagnosis was spinal cord hemorrhage resulting in spinal cord injury without radiological abnormality.
pediatricimaging.org • CC-by-nc-sa 4.0
Radiopaedia • CC-by-nc-sa 3.0 • de

SCIWORA is the abbreviation of spinal cord injury without radiographic abnormality . This can be an indication for MRI when there is a persisting, objective myelopathy after a traumatic event with normal plain film and CT findings. It accounts for ~10% of spinal cord injuries.

Epidemiology

It tends to occur in the pediatric population.

History and etymology

Initially described by Pang et al, in 1982 .

Siehe auch:
Assoziationen und Differentialdiagnosen zu Spinal cord injury without radiographic abnormality (SCIWORA):