Spinal cord injury without radiological abnormality in an 8-
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Spinal cord injury in children frequently occurs without fracture or dislocation. SCIWORA is a syndrome occurring when the spinal cord sustains neural damage during a traumatic event without positive radiographic findings. The incidence of SCIWORA was found to be 8% to 32% in various studies with very few cases documented in children below the age of 1 year. We report such a case of spinal cord injury without radiological abnormality in an 8 months old female child. An 8 months old female child was brought to the emergency room after a history of fall from the bed four days back. External spine examination revealed no abnormality. She had no upper or lower limb movements, both active and withdrawal movements with painful tactile stimuli, power was grade 0; are flexic; abdominal, cremasteric and anal reflexes were absent, the bladder was palpable and urine could be expressed on manual pressure. MRI of the cervical spine with the screening of the whole spine: suggestive of non-hemorrhagic cord edema at the C4 level, with a suspicious tear of the anterior longitudinal ligament at that level. The child was immobilized in pediatric cervical collar and treatment was initiated with corticosterioids and the dose adjusted as per age of the patient.

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