Title

Bilateral Upper Extremity Hyperesthesia and Absence of Neck Tenderness in Four Adolescent Athletes With Cervical Spine Injuries

Document Type

Article

Publication Date

10-1-2018

Publication Title

Pediatric Emergency Care

Volume

34

Issue

10

First page number:

E178

Last page number:

E180

Abstract

Cervical spine injury in the pediatric athlete is an uncommon but potentially devastating condition that can require a heightened index of suspicion to correctly diagnose.1 Although some cervical spine injuries present overtly with paraplegia due to cord transection, others can present more subtly with symptoms suggestive of bilateral peripheral neuropathy. Patients with traumatic brachial neuropraxia or “stinger” physiology can present similarly, but symptoms are exclusively unilateral.2,3 We present 4 patients with bilateral upper extremity hyperesthesias and absence of tenderness over the cervical vertebral landmarks who were subsequently diagnosed with cervical spine injuries.

Keywords

Stinger; Cervical stenosis; Paresthesia; Paralysis; Fracture

Disciplines

Pediatrics

Language

English

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