Nontraumatic Acute Hyperextension Myelopathy Associated With Weightlifting.

MedStar author(s):
Citation: American Journal of Physical Medicine & Rehabilitation. 100(8):e113-e115, 2021 08 01.PMID: 33048891Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Paraplegia/di [Diagnosis] | *Spinal Cord Injuries/di [Diagnosis] | *Spinal Cord Ischemia/di [Diagnosis] | *Weight Lifting/in [Injuries] | Acute Disease | Diagnosis, Differential | Female | Humans | Medical Illustration | Middle Aged | Paraplegia/et [Etiology] | Spinal Cord Injuries/et [Etiology] | Spinal Cord Ischemia/et [Etiology]Year: 2021Local holdings: Available online from MWHC library: 1996 - presentISSN:
  • 0894-9115
Name of journal: American journal of physical medicine & rehabilitationAbstract: We describe the clinical course of a 56-year-old female without significant past medical history presenting with nontraumatic paraplegia found to have an infarction of the conus medullaris following intensive lumbar hyperextension exercises. This condition, known as Surfer's Myelopathy (SM), has been described in multiple case reports that attributed a similar mechanism and presentation. We present a case of SM associated with weightlifting which has not been previously reported. We conclude that this diagnosis should be considered in patients who present after spine hyperextension activity with non-traumatic paraplegia. Furthermore, we support the nomenclature change to "Acute Hyperextension Myelopathy," better reflecting the underlying pathophysiology.All authors: Batal H, Cipriano K, Gosai E, Mansfield JTOriginally published: American Journal of Physical Medicine & Rehabilitation. 2020 Oct 12Fiscal year: FY2022Fiscal year of original publication: FY2021Digital Object Identifier: Date added to catalog: 2020-12-29
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Journal Article MedStar Authors Catalog Article 33048891 Available 33048891

Available online from MWHC library: 1996 - present

We describe the clinical course of a 56-year-old female without significant past medical history presenting with nontraumatic paraplegia found to have an infarction of the conus medullaris following intensive lumbar hyperextension exercises. This condition, known as Surfer's Myelopathy (SM), has been described in multiple case reports that attributed a similar mechanism and presentation. We present a case of SM associated with weightlifting which has not been previously reported. We conclude that this diagnosis should be considered in patients who present after spine hyperextension activity with non-traumatic paraplegia. Furthermore, we support the nomenclature change to "Acute Hyperextension Myelopathy," better reflecting the underlying pathophysiology.

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