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Published in: Indian Journal of Pediatrics 2/2024

02-10-2023 | Encephalopathy | Clinical Brief

Hypoxic Ischemic Encephalopathy with Cervical Spinal Cord Injury: A Diagnostic Dilemma

Authors: Suresh Gowda, Prathap Chandra, Deepa Mohan Sharma, Laxmi Kamath, Mamatha V

Published in: Indian Journal of Pediatrics | Issue 2/2024

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Abstract

Perinatal spinal cord injury is a relatively uncommon, but a frequently misdiagnosed disorder. Improvements in obstetric care have certainly led to a decrease in the incidence of birth related spinal cord trauma but unfortunately the incidence of hypoxic-ischemic encephalopathy is still very high. The exact incidence of spinal cord trauma is difficult to determine because the spinal cord is not routinely examined in far and few neonatal autopsies done in India. Here, authors present a neonate who received treatment for birth asphyxia and then had extubation failure which made the clock tick towards cervical cord injury. This baby had a hemorrhagic contusion of cervical spinal cord.
Literature
1.
go back to reference Duggal N, Lach B. Selective vulnerability of the lumbosacral spinal cord after cardiac arrest and hypotension. Stroke. 2002;33:116–21.CrossRefPubMed Duggal N, Lach B. Selective vulnerability of the lumbosacral spinal cord after cardiac arrest and hypotension. Stroke. 2002;33:116–21.CrossRefPubMed
2.
go back to reference Adams C, Babyn PS, Logan WJ. Spinal cord birth injury: value of computed tomographic myelography. Pediatr Neurol. 1988;4:105–9.CrossRefPubMed Adams C, Babyn PS, Logan WJ. Spinal cord birth injury: value of computed tomographic myelography. Pediatr Neurol. 1988;4:105–9.CrossRefPubMed
4.
go back to reference Clancy RR, Sladky JT, Rorke LB. Hypoxic-ischemic spinal cord injury following perinatal asphyxia. Ann Neurol. 1989;25:185–9.CrossRefPubMed Clancy RR, Sladky JT, Rorke LB. Hypoxic-ischemic spinal cord injury following perinatal asphyxia. Ann Neurol. 1989;25:185–9.CrossRefPubMed
5.
go back to reference Kulshrestha R, Chowdhury JR, Lalam RK, Kiely NT. Spinal cord infarction in a sick neonate from predominant haemorrhagic aetiology: a case report. Spinal Cord Ser Cases. 2017;3:17038.CrossRefPubMedPubMedCentral Kulshrestha R, Chowdhury JR, Lalam RK, Kiely NT. Spinal cord infarction in a sick neonate from predominant haemorrhagic aetiology: a case report. Spinal Cord Ser Cases. 2017;3:17038.CrossRefPubMedPubMedCentral
Metadata
Title
Hypoxic Ischemic Encephalopathy with Cervical Spinal Cord Injury: A Diagnostic Dilemma
Authors
Suresh Gowda
Prathap Chandra
Deepa Mohan Sharma
Laxmi Kamath
Mamatha V
Publication date
02-10-2023
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 2/2024
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-023-04872-7

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