Abstract：
Surfer\'s myelopathy is non-traumatic spinal cord injury which develops in beginner surfers. The patient was a 17-year-old female who developed severe paraplegia with bilateral sensory dysfunction below the groin and bladder/rectal dysfunctions after her first surfing lesson. A spinal-cord MRI performed six hours after onset revealed an intramedullary hyperintensity area from T8 to the conus medullaris on the T2 weighted images. Expansion of this hyperintensity area was observed on Day 3 and showed a reduction on Day 8. After providing intravenous methylpredonisolone, intravenous glycerol and intravenous edaravone, motor function and bladder/rectal functions began to improve after approximately three weeks. In this study, the expansion of the lesion in the early stages of the disease course was observed by sequential spinal MRI. Furthermore, a time lag between improvement according to imaging and improvement in symptoms was also observed.
摘要：
冲浪者的脊髓病是在初学者中发展的非创伤性脊髓损伤。该患者是一名17岁的女性，在第一次冲浪课程后出现严重的截瘫，腹股沟以下双侧感觉功能障碍和膀胱/直肠功能障碍。发病后6小时进行的脊髓MRI显示，在T2加权图像上，从T8到延髓圆锥的髓内高强度区域。在第3天观察到该高强度区域的扩张,并且在第8天显示减少。静脉注射甲基普雷酮后，静脉注射甘油和静脉注射依达拉奉，运动功能和膀胱/直肠功能在大约3周后开始改善.在这项研究中,通过序贯脊柱MRI观察到病变在病程早期的扩张。此外，我们还观察到影像学改善和症状改善之间的时滞.
