Clinics in neurology and neurosurgery of sport: asymptomatic cervical canal stenosis and transient quadriparesis

[...]if the MRI were to show signal changes within the spinal cord (termed myelomalacia) at a specific level of compression, the patient would very likely, in this scenario, show signs of myelopathy. A single episode of transient quadriparesis predisposes the athlete to an increased risk of spinal c...

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Bibliographic Details
Published in:British journal of sports medicine 2009-12, Vol.43 (14), p.1154-1158
Main Authors: Davis, G, Ugokwe, K, Roger, E P, Benzel, E C, Cantu, R C, Rogers, M, Dvorak, J, McCrory, P
Format: Article
Language:English
Subjects:
Adult
Athletes
Cervical Vertebrae - injuries
Coaches & managers
Concussion
Football - injuries
Humans
Magnetic Resonance Imaging
Male
Neck
Quadriplegia - etiology
Recovery of Function
Soccer - injuries
Spinal cord injuries
Spinal Stenosis - complications
Spinal Stenosis - diagnosis
Young Adult
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Summary:[...]if the MRI were to show signal changes within the spinal cord (termed myelomalacia) at a specific level of compression, the patient would very likely, in this scenario, show signs of myelopathy. A single episode of transient quadriparesis predisposes the athlete to an increased risk of spinal cord injury in the future: unknown There is no evidence published demonstrating a direct association between a single episode of TQ (with normal cervical imaging) and the later development of spinal cord injury. 18 23 The lack of evidence does not of itself imply a lack of association, but the "consensus opinion" is that a single episode of TQ, in an athlete with normal cervical radiological assessment, does not preclude return to play.
ISSN:0306-3674
1473-0480
DOI:10.1136/bjsm.2008.048264