Neurologic Injury Following Bobsled Crash: A Case Report - Page #4

Working Diagnosis:
Spinal cord contusion.

American Spinal Injury Association (ASIA) class E: radiographic evidence of spinal cord injury (SCI) without deficits on exam.

He was transferred to a regional trauma hospital spinal unit for tertiary survey and 48-hour monitoring of bowel, bladder, respiratory function, and pain. No steroids were administered.

Residual neurologic symptoms resolved. He was educated on signs and symptoms to report within 72 hours following SCI, then discharged to his team physician.

Author's Comments:
Return to Activity and Follow-Up: The patient and team physician reported no signs or symptoms of myelopathy within 72 hours. If present, this would have necessitated a repeat ASIA exam and workup. The medical unit of the international competition received no report of neurologic symptoms upon return to the athlete's home country.

Return To The Case Studies List.

NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415

Website created by the computer geek