Spinal cord injury at birth: a hidden causative factor

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Abstrakt

UNLABELLED: A case of perinatally acquired spinal cord injury (SCI) is presented. The foetus was vigorous until birth, the breech presented and delivery was performed by a non-traumatic Caesarean section. The infant displayed symptoms of severe SCI but diagnosis was delayed due to severe co-morbidity. Diagnostic considerations are briefly reviewed. Ventilatory support was withdrawn at the age of 20 days when the infant had still not exhibited any respiratory effort or spontaneous movements. Autopsy revealed a serious congenital malalignment of the upper cervical vertebrae and at the histological examination extensive reactive changes were observed in the same area. To our knowledge such findings have not been published previously.

CONCLUSION: In cases of serious perinatally acquired SCI, claim of malpractice is often apparent. In this case a hidden congenital malformation of the cervical vertebrae was revealed, highlighting the need of careful postmortem examinations in such cases.

OriginalsprogEngelsk
TidsskriftActa Paediatrica
Vol/bind97
Udgave nummer6
Sider (fra-til)824-826
Antal sider3
ISSN0803-5253
DOI
StatusUdgivet - 1. jun. 2008

Emneord

  • Rygmarv
  • Medfødt misdannelse
  • Computer tomografi
  • Obduktion

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