Pediatric Spinal Cord Injury without Neuroimaging Abnormality (SCIWNA): A Clinico-Radiological Conundrum

Abstract

‘Spinal Cord Injury Without Neuroimaging Abnormality’ (SCIWNA) is a clinico-radiological entity characterized by clinical markers of traumatic myelopathy without neuroimaging evidence of spinal instability or fracture, which is being increasingly recognized among children with the growing application of Magnetic Resonance Imaging (MRI). A child with SCIWNA is being reported to sensitize clinicians about this entity and to highlight the key aspects that aid in its early diagnosis and effective management. but did not have any urinary symptoms. There was no history suggestive of facial or upper limbs weakness, seizures, altered sensorium, vomiting, feeding or breathing difficulty. On examination, child was irritable but consolable and oriented to parents. His vital parameters were normal. Examination of nerves and upper was unremarkable. lower were maintained in an attitude of with absent spontaneous movements.