Case Reports
doi: 10.1259/bjrcr.20150004. eCollection 2015.Imaging findings in a case of stand up paddle surfer's myelopathy
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- PMID:30363207
- PMCID: PMC6159156
- DOI: 10.1259/bjrcr.20150004
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Case Reports
Imaging findings in a case of stand up paddle surfer's myelopathy
M E Klontzas et al. BJR Case Rep..
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Abstract
Stand up paddle (SUP) surfing, a variant of ocean surfing, is becoming very popular because it can be performed at any level of difficulty and thus attracts athletes from a wide range of ages. Unlike ocean surfing, limited data exist on injuries related to SUP surfing. We report the first case of a 28-year-old athlete who developed myelopathy during his first SUP surfing session. Clinical examination revealed severe neurological deficit, which had not subsided fully at the 28-month follow-up.
Figures
MRI 18 h following onset of symptoms. (a) The sagittalT2 weighted turbo spin-echo MR image shows oedema and swelling of the conus medullaris (arrows). (b) Low apparent diffusion coefficient is shown in keeping with restricted diffusion, which supports the diagnosis of acute ischaemia (arrows).
A follow-up MRI 28 days after the initial one shows more precise borders of the lesion on theT2 weighted sagittal image [arrows in (a)] and foci of enhancement on the fat-suppressed contrast-enhancedT1 weighted MR image [arrows in (b)] in keeping with subacute ischaemia. The axial three-dimensionalT2 weighted MR image shows swelling and oedema within the cord at the T12 level [arrows in (c)].
A follow-up MRI 6 weeks after the initial one shows well-defined borders of the lesion on the sagittal (a) and axial (b)T2 weighted MR images (arrows) and no enhancement on the fat-suppressed contrast-enhancedT1 weighted MR image (c).
Left lumbar selective arteriography at the level of the L1 vertebral body showing the normal anatomy of an ascending radiculomedullary artery (arrow). All other possible arterial feeding branches were also opacified without evidence of vascular disorders.
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References
- Walker C, Nichols AW, Forman TCK. A survey of injuries and medical conditions affecting stand-up paddle surfboarding participants. Clin J Sports Med 2010; 20: 144
- Thompson TP, Pearce J, Chang G, Madamba J. Surfer’s myelopathy. Spine (Phila Pa 1976) 2004; 29: E353–6. - PubMed
- Shuster A, Franchetto A. Surfer’s myelopathy—an unusual cause of acute spinal cord ischemia: a case report and review of the literature. Emerg Radiol 2011; 18: 57–60. - PubMed
- Takakura T, Yokoyama O, Sakuma F, Itoh R, Romero RR. . Complete paraplegia resulting from surfer’s myelopathy. Am J Phys Med Rehabil 2013; 92: 833–7. - PubMed
- Dimmick S, Brazier D, Wilson P, Anderson SE. . Injuries of the spine sustained whilst surfboard riding. Emerg Radiol 2013; 20: 25–31. - PubMed
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