Open AccessSevere hypothermia secondary to spinal cord injury without radiographic abnormality
Author(s) -
Kanezaki Shozo,
Ishii Keisuke,
Miyazaki Masashi,
Tanabe Sanshi,
Kurosawa Keiko,
Tsumura Hiroshi
Publication year - 2015
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.73
Subject(s) - medicine , abnormality , spinal cord , paraplegia , spinal cord injury , radiography , hypothermia , radiological weapon , anesthesia , magnetic resonance imaging , surgery , cord , radiology , psychiatry
Case A 64‐year‐old female was found lying by a river. She was unconscious and her lower body was under water. The patient was transported to the emergency room of our hospital. On arrival, her rectal temperature was 24.6°C. We immediately started rewarming and artificial respiration. Five days after admission, rewarming was completed and she became conscious and could communicate. Initially, she had been injured and examination showed paraplegia. Magnetic resonance imaging of her cervical spine showed no findings indicating bony or ligament injury, but there was a T 2 high intensity area at C 5/6 and C 6/7 levels. The patient was diagnosed with spinal cord injury without radiological abnormality. Outcome At 5 months post‐injury, the patient was able to walk without crutches. Conclusion Spinal cord injury might be missed if there are no radiographic abnormalities. Spinal cord injury without radiological abnormality should be considered as a differential diagnosis of accidental hypothermia.