Player with Posttraumatic Transient Spinal Cord Injury (TSCI)
Clinical Case Overview
Following a violent body check, a professional icehockey player
experienced a sudden total quadraparesis that paralyzed him
during play for a full minute. The upright flexion and extension
images showed two centromedullary cord contusions where only
one was visible on the neutral upright scan. The two contusions
accounted for the quadraparesis that caused his sudden transient
paralysis on the ice while playing.
Upright - Flexion
The critically compromising stenosis
at C 3-4, visualized only by means of the FONAR Upright™
MRI extension images in this athlete with a congenitally tight
spinal canal, was responsible for the acute cord compression
and centromedullary contusions that resulted in the acute
transient paralysis (1 minute duration) of this athlete. His
lesions were visible only on upright extension.
Following anterior decompression and
interbody fusion with a composite cage, this hockey player,
who might otherwise have had his professional athletic career
terminated, was back on the ice competing, 3 months after
J.P. Elsig, M.D.
Fellow of the Swiss Orthopedic Society
Member of the Board of the Swiss Spine Society