Transdiscal fracture of thoracic spine presenting as sensory ataxia

Transdiscal fracture of thoracic spine presenting as sensory ataxia Acta Neurol Belg (2017) 117:783–785 DOI 10.1007/s13760-017-0752-4 LETTER TO THE EDITOR 1 2 3 4 • • • • Sanjeev Kumar Bhoi Suprava Naik Jayantee Kalita Sunil Kumar U. K. Misra Received: 8 November 2016 / Accepted: 18 January 2017 / Published online: 3 February 2017 Belgian Neurological Society 2017 Dear Sir, 14 years. No nocturnal worsening of pain. There was no prior history of trauma. On examination, his pulse rate was Transverse fracture of spine is rare; however it is a well- 78/min, blood pressure 120/70 mmHg. Neurologically known complication of ankylosing spondylitis and diffuse conscious, without any cranial nerve dysfunction, tone and idiopathic skeletal hyperostosis (DISH). These fractures tendon reflexes were increased in bilateral lower limb. may remain undetected or present with neurological com- Power was normal in upper limbs and Medical Research plication. MRI is very sensitive for detection of such Council (MRC) grade 4/5 in lower limbs, joint position fractures and associated neurological complications. Here, sense was impaired below the ankle and vibration impaired we describe a case of transdiscal fracture of thoracic spine below knee. There was no spinal deformity or tenderness. presenting with sensory ataxia in a previously unrecognised Routine hemogram and serum Acta Neurologica Belgica Springer Journals

Transdiscal fracture of thoracic spine presenting as sensory ataxia

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Springer International Publishing
Copyright © 2017 by Belgian Neurological Society
Biomedicine; Neurosciences; Neurology; Neuroradiology; Medicine/Public Health, general
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