Pc. Ferrera et al., SPINAL GORD CONCUSSION IN PREVIOUSLY UNDIAGNOSED OSTEOGENESIS IMPERFECTA, The American journal of emergency medicine, 13(4), 1995, pp. 424-426
An 11-year old hoy was a victim of a motor vehicle accident. He initia
lly presented with paraplegia and inability to detect pain below the f
ourth thoracic dermatome. Two hours later, he had full return of motor
and sensory function. Thoracolumbar spine radiography and magnetic re
sonance imaging (MRI) showed multiple compression fractures and marked
osteopenia of the vertebrae. The patient's family history is signific
ant for osteogenesis imperfecta (OI), although the patient had not bee
n previously diagnosed with this disorder. Although the patient had no
prior fractures or any of the classic stigmata of OI except for short
stature, plain radiographic and MRI findings in conjunction with his
family history support the diagnosis of OI, A brief discussion of both
OI and spinal cord concussion is presented. (C) 1995 by W.B. Saunders
Company