Spinal cord injury rehabilitation in a pediatric achondroplastic patient: case report.

Abstract:

:Achondroplasia is an autosomal dominant condition that occurs in approximately 1 of 25,000 births. It has long been associated with neurologic morbidity and mortality in adults, but more recently it has been increasingly identified in children. Neurological sequelae of achondroplasia includes spinal stenosis, spinal cord compression at the foramen magnum (which can result in fatal acute craniocervical junction compression), hydrocephalus, radiculopathy, paresis, and abnormal spinal curvature. We report the case of a 12-year-old achondroplastic patient who incurred an apparently nontraumatic cervical spinal cord infarction, with resultant quadriplegia, with no apparent cause, which was complicated by impaired tolerance of temperature changes and hypercalcemia of immobilization. Whereas persons with achondroplasia have many of the same physical and functional impairments from spinal cord injury as other SCI patients, they are more likely to experience certain types of neurologic deficits and are more subject to other problems because of their altered body habitus.

journal_name

Arch Phys Med Rehabil

authors

Wieting JM,Krach LE

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

106-8

issue

1

eissn

0003-9993

issn

1532-821X

pii

0003-9993(94)90346-8

journal_volume

75

pub_type

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