• J Emerg Med · Nov 2015

    Case Reports

    Pediatric Surfer's Myelopathy.

    • Shernaz Wadia, Pradeep Padmanabhan, Karen Moeller, and Anna Rominger.
    • Division of Pediatric Emergency Medicine, Kosair Children's Hospital, Louisville, Kentucky.
    • J Emerg Med. 2015 Nov 1; 49 (5): e143-5.

    BackgroundWe present the case of the youngest known patient diagnosed with surfer's myelopathy. Surfer's myelopathy is a rare nontraumatic myelopathy. The most likely etiology, presumably, is arterial insufficiency related to spine hyperextension. Symptoms consist of back pain, urinary incontinence or retention, paraplegia, and sensory loss.Case ReportA 7-year-old girl presented with back pain, urinary retention, and lower extremity weakness after doing backbends during a cheerleading practice the day prior to presentation. WHY SHOULD AN EMERGENCY MEDICINE PHYSICIAN BE AWARE OF THIS?: With the trend of children becoming increasingly active in competitive sports at a younger age, surfer's myelopathy is a diagnosis that should be considered when the symptoms are present and the history consists of hyperextending the back. As in our case, a seemingly benign trauma can lead to the diagnosis of surfer's myelopathy.Copyright © 2015 Elsevier Inc. All rights reserved.

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