Spinal cord injury at birth: a hidden causative factor

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

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 Ventilatory support was withdrawn at the age of 20 days when the infant had still not exhibited any respiratory effort or spontaneous movements.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.

Original languageEnglish
JournalActa Paediatrica
Volume97
Issue number6
Pages (from-to)824-826
Number of pages3
ISSN0803-5253
DOIs
Publication statusPublished - 1. Jun 2008

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Delayed Diagnosis
Malpractice
Fetus

Keywords

  • Spinal cord
  • Congenital malformation
  • Computerized Tomography
  • Autopsy

Cite this

@article{05bb3420152911dd9e03000ea68e967b,
title = "Spinal cord injury at birth: a hidden causative factor",
abstract = "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 Ventilatory support was withdrawn at the age of 20 days when the infant had still not exhibited any respiratory effort or spontaneous movements.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.",
keywords = "Rygmarv, Medf{\o}dt misdannelse, Computer tomografi, Obduktion, Spinal cord, Congenital malformation, Computerized Tomography, Autopsy",
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language = "English",
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pages = "824--826",
journal = "Acta Paediatrica",
issn = "0803-5253",
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}

Spinal cord injury at birth : a hidden causative factor. / Fenger-Gron, Jesper; Kock, Kirsten; Nielsen, Rasmus G; Leth, Peter M; Illum, Niels.

In: Acta Paediatrica, Vol. 97, No. 6, 01.06.2008, p. 824-826.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Spinal cord injury at birth

T2 - a hidden causative factor

AU - Fenger-Gron, Jesper

AU - Kock, Kirsten

AU - Nielsen, Rasmus G

AU - Leth, Peter M

AU - Illum, Niels

PY - 2008/6/1

Y1 - 2008/6/1

N2 - 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.

AB - 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.

KW - Rygmarv

KW - Medfødt misdannelse

KW - Computer tomografi

KW - Obduktion

KW - Spinal cord

KW - Congenital malformation

KW - Computerized Tomography

KW - Autopsy

U2 - 10.1111/j.1651-2227.2008.00768.x

DO - 10.1111/j.1651-2227.2008.00768.x

M3 - Journal article

C2 - 18397356

VL - 97

SP - 824

EP - 826

JO - Acta Paediatrica

JF - Acta Paediatrica

SN - 0803-5253

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ER -