Abstract：
Spinal cord injury without radiographic abnormality (SCIWORA) is a term that denotes clinical symptoms of traumatic myelopathy without radiographic or computed tomographic features of vertebral fracture or instability. However, SCIWORA in adults is very rare, especially that involving the thoracic spine. We describe the case of a 38-year-old man who complained of weakness in the right lower extremity for two hours. The injury occurred due to rapid spinal cord rotation-stretching. The patient was diagnosed with SCIWORA at the T4 level, manifesting as Brown-Sequard syndrome (BBS). Finally, he was able to walk independently without assistance after two-month treatment. SCIWORA due to spinal cord rotation-stretching injury, manifesting as BSS, is a very rare mechanism of injury. When X-ray and CT scans rule out the diagnosis of spinal fractures, SCIWORA should be suspected. We recommend that clinicians should have a comprehensive and systematic understanding of this disease to greatly reduce misdiagnosis and improve the level of treatment.
摘要：
无影像学异常的脊髓损伤（SCIWORA）是一个术语，表示没有影像学或计算机断层扫描特征的创伤性脊髓病的临床症状。然而,SCIWORA在成年人中非常罕见，尤其是涉及胸椎的.我们描述了一名38岁的男子，他抱怨右下肢无力两个小时。损伤是由于脊髓快速旋转拉伸引起的。患者被诊断为T4水平的SCIWORA，表现为Brown-Sequard综合征（BBS）。最后,经过两个月的治疗，他能够在没有帮助的情况下独立行走。SCIWORA由于脊髓旋转拉伸损伤，表现为BSS，是一种非常罕见的损伤机制。当X线和CT扫描排除脊柱骨折的诊断时，应该怀疑SCIWORA。建议临床医师对本病有全面、系统的认识,大大减少误诊,提高治疗水平。
