Acute management of surfers’ myelopathy: A case report

Jace Bradshaw; Adam Kenet; Stephen Ritter; Katee O'Malley; Kaycee Nguyen; Yousef Darwish; Nancy Yeh

doi:10.5339/jemtac.2024.37

ISSN: 1999-7086
E-ISSN: 1999-7094

oa Acute management of surfers’ myelopathy: A case report
المؤلفون: Jace Bradshaw¹, Adam Kenet², Stephen Ritter³, Katee O'Malley³, Kaycee Nguyen⁴, Yousef Darwish³ and Nancy Yeh³
عرض الانتماءات إخفاء الانتسابات المهنية

االانتسابات المهنيه ¹ Emergency Medicine and Anesthesiology and Critical Care, Johns Hopkins University School of Medicine, Baltimore, MD, USA. *Email: [email protected] ² Biomedical Engineering, Johns Hopkins Whiting School of Engineering, Baltimore, MD, USA ³ Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA ⁴ Medicine, Texas A&M School of Medicine, Baylor University Medical Center, Dallas, TX, USA
Source: Journal of Emergency Medicine, Trauma and Acute Care, Volume 2024, Issue 7, أكتوبر ٢٠٢٤, 37
DOI https://doi.org/10.5339/jemtac.2024.37
- المستلَم: ٢٦ أغسطس ٢٠٢٤
- المقبول: ٢٤ سبتمبر ٢٠٢٤
- تاريخ النشر الكترونيا: ٠٧ نوفمبر ٢٠٢٤

ملخص

Surfer's myelopathy is a rare, non-traumatic spinal cord injury that presents with acute paraparesis, typically following activities involving back hyperextension, such as surfing. This report describes a 13-year-old boy who developed lower extremity weakness and sensory loss after his first surfing lesson. MRI showed hyperintense T2 signals from T9 to T12, indicating spinal cord ischemia. Treatment included dexamethasone and phenylephrine to maintain a mean arterial pressure of 85 mmHg, enhancing spinal perfusion. The patient's motor function improved with early intervention, and intensive rehabilitation further supported recovery, allowing him to ambulate with minimal assistance within one month. This case highlights the importance of early intervention and rehabilitation in promoting recovery from surfer's myelopathy.

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References

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[Google الباحث العلمي]

/content/journals/10.5339/jemtac.2024.37

Acute management of surfers’ myelopathy: A case report

Journal of Emergency Medicine, Trauma and Acute Care 2024, 37 (٢٠٢٤); https://doi.org/10.5339/jemtac.2024.37

/content/journals/10.5339/jemtac.2024.37

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الموضوعات الرئيسية critical care, emergency medicine, myelopathy, neurology, neurosurgery and pediatrics

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oa Acute management of surfers’ myelopathy: A case report

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