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  4. Spinal cord injury with central cord syndrome from surfing

Spinal cord injury with central cord syndrome from surfing

Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0041-3 · Published: January 3, 2018

Spinal Cord InjuryOrthopedics

Simple Explanation

Central cord syndrome (CCS) is an injury to the center of the spinal cord. It typically results from hyperextension injuries, especially in older individuals with pre-existing spinal conditions. This case report describes a 35-year-old novice surfer who developed CCS after falling off his surfboard and hitting the sea floor. He experienced acute tetraplegia and sensory deficits upon arrival at the hospital. The patient was treated conservatively and underwent rehabilitation, leading to near-full neurological recovery within a month. This case suggests that CCS should be considered in the differential diagnosis of neurological injuries in surfers, even in the absence of typical risk factors.

Study Duration
3 months follow up
Participants
1 male novice surfer
Evidence Level
Case Report

Key Findings

  • 1
    A 35-year-old novice surfer presented with acute tetraplegia and sensory deficits after a surfing accident.
  • 2
    Radiological investigations revealed advanced spinal stenosis at C4–6 levels and myelopathy at C5–C6 level.
  • 3
    Conservative treatment and rehabilitation led to near-full neurological recovery within a month.

Research Summary

This case report describes a rare instance of central cord syndrome (CCS) in a young, previously healthy novice surfer following a surfing accident. The patient presented with acute tetraplegia and sensory deficits. The patient had pre-existing spinal stenosis, which likely contributed to the injury. He was treated conservatively and showed significant improvement with rehabilitation. The report suggests that CCS should be considered in the differential diagnosis of neurological injuries in surfers, especially when combined with congenital spinal stenosis. Protective measures and cautious progression in surfing should be advised.

Practical Implications

Diagnostic Awareness

Clinicians should consider CCS in the differential diagnosis of neurological injuries in surfers, even in younger individuals without typical risk factors.

Preventive Measures

Novice surfers should be educated about potential neurological injuries and advised to gradually increase their surfing endurance and adjust their surfing level to sea conditions.

Risk Factor Identification

Screening for congenital spinal stenosis might be considered in individuals engaging in high-risk sports like surfing.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Lack of detailed initial ISNCSCI assessment.
  • 3
    Patient did not return for surgical follow-up.

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