Cervical spinal cord injury in abused children

Pediatric Emergency Care
Kenneth W FeldmanRichard G Ellenbogen

Abstract

Five infants and toddlers who sustained cervical spinal cord injury as the result of child abuse are described. Three cases are previously unreported. Diagnosis was complicated by coexistent brain injuries and their treatments, subtle and/or evolving paralysis, and central cord syndrome, in which arm function is diminished but leg function is preserved. Definitive spinal imaging by magnetic resonance imaging (MRI), computed tomography, and plain radiographs was delayed because of life support efforts. When completed, the MRI was most sensitive to cord injury. Evidence of associated bony spinal injury was often absent or unapparent until healing occurred; 4 children had spinal cord injury without (or with minimal) radiological abnormality. The 3 children presenting to our hospital with cord injury represent 1% of the estimated cases of inflicted head injury seen during a 23-year period.

References

Nov 1, 1992·Journal of Neurosurgery·M G Hamilton, S T Myles
Mar 1, 1992·Neurosurgery·R K Osenbach, A H Menezes
Jan 1, 1988·Journal of Neurosurgery·J R RugeL J Cerullo
Sep 1, 1988·American Journal of Diseases of Children·R C Sneed, S L Stover
Jan 1, 1986·The Journal of Pediatrics·L S Chen, M E Blaw
Feb 1, 1983·Radiology·D F MertenJ C Leonidas
Jul 1, 1982·Journal of Neurosurgery·D Pang, J E Wilberger
Feb 1, 1997·Child Abuse & Neglect·K W FeldmanC L Fligner
Feb 24, 1999·JAMA : the Journal of the American Medical Association·C JennyT C Hay
Jun 16, 2001·Brain : a Journal of Neurology·J F GeddesH L Whitwell
Sep 5, 2001·Pediatrics·K W FeldmanR G Ellenbogen
Oct 24, 2002·Neurosurgery Clinics of North America·Saadi Ghatan, Richard G Ellenbogen
May 27, 2003·Archives of Disease in Childhood·A M KempK W Kemp
Apr 6, 2004·Journal of Pediatric Surgery·Bayram CirakCharles N Paidas
May 12, 2005·Forensic Science International : Synergy·Faris A Bandak
Jan 27, 2006·Forensic Science International : Synergy·Susan MarguliesCindy Christian
Oct 25, 2006·Skeletal Radiology·Geetika Khanna, Georges Y El-Khoury
Mar 7, 2007·Skeletal Radiology·Ian R Reid

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Citations

May 6, 2009·Pediatric Radiology·Kenneth Feldman
Jul 3, 2013·Pediatric Radiology·Ignasi BarberPaul K Kleinman
Mar 21, 2009·Current Opinion in Pediatrics·Alice W Newton, Andrea M Vandeven
Jan 6, 2011·Pediatric Emergency Care·Bruce E HermanHoward M Corneli
Feb 26, 2013·AJR. American Journal of Roentgenology·Paul K KleinmanPatricia L Kleinman
May 26, 2015·Surgical Neurology International·Nancy E Epstein, Renee Hollingsworth
May 28, 2016·AJNR. American Journal of Neuroradiology·R JacobT N Booth
Oct 28, 2016·Journal of Forensic Sciences·Serenella SerinelliLorenzo Gitto
Oct 16, 2014·Journal of Child Neurology·Sandeep Narang, Jennifer Clarke
Sep 24, 2016·Journal of Pediatric Orthopedics·Julio J JaureguiCarl B Paulino
Jan 18, 2018·Topics in Spinal Cord Injury Rehabilitation·Eimear SmithPatricia Fitzpatrick
Dec 4, 2014·Pediatric Emergency Care·Sonny T TatRobert J Freishtat

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

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