Surfer’s myelopathy: a rare presentation in a non-surfing setting and review of the literature

J Spine Surg, 2016 · DOI: 10.21037/jss.2016.09.07 · Published: September 1, 2016

Spinal Cord Injury Neurology Research Methodology & Design

Simple Explanation

Surfer's myelopathy (SM) is a rare condition causing spinal cord infarction, initially linked to surfing. It's thought to be caused by hyperextension of the spine, potentially damaging blood vessels. This report presents a case of SM in a demolition worker, suggesting that strenuous spinal activity, not just surfing, could trigger the condition. The patient experienced sensory loss and was diagnosed via MRI. The patient was treated with steroids and fluid management, showing neurological improvement. This highlights the importance of early diagnosis, admission, and potential rehabilitation for SM patients.

Study Duration

Not specified

Participants

A 51-year-old male demolition worker

Evidence Level

Level 4; Case Report and Literature Review

Key Findings

1
SM can occur in non-surfing settings, suggesting that strenuous activity to the spine can be a trigger.
2
MRI and MRI-DWI are important diagnostic tools, showing hyperintensity and diffusion restriction signals in the spinal cord.
3
Early steroid therapy and fluid management can lead to neurological improvement in SM patients.

Research Summary

The paper discusses surfer's myelopathy (SM), a rare spinal cord infarction, typically associated with surfing. It presents a case of SM in a demolition worker, highlighting that the condition can occur outside of surfing. The report reviews potential pathophysiological mechanisms, including hyperextension-induced vascular damage and alternative theories like IVC compression. It emphasizes the importance of MRI and MRI-DWI for diagnosis. The authors recommend early admission, steroid therapy, and monitoring of blood pressure for suspected SM cases. Rehabilitation services are also suggested if available.

Practical Implications

Diagnostic Awareness

Clinicians should consider SM in patients presenting with acute myelopathy, even without a history of surfing, especially after strenuous activity.

Early Intervention

Prompt diagnosis using MRI and MRI-DWI is crucial for early initiation of steroid therapy and fluid management, potentially improving patient outcomes.

Treatment Guidelines

The study supports early steroid use and monitoring of blood pressure, although further research is needed to standardize management algorithms.

Surfer’s myelopathy: a rare presentation in a non-surfing setting and review of the literature

Simple Explanation

Key Findings

Research Summary

Practical Implications

Diagnostic Awareness

Early Intervention

Treatment Guidelines

Study Limitations

Your Feedback

Was this summary helpful?

Surfer’s myelopathy: a rare presentation in a non-surfing setting and review of the literature

Simple Explanation

Key Findings

Research Summary

Practical Implications

Diagnostic Awareness

Early Intervention

Treatment Guidelines

Study Limitations

Your Feedback

Was this summary helpful?