Nontraumatic Acute Hyperextension Myelopathy Associated With Weightlifting. - 2021

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.


English

0894-9115

10.1097/PHM.0000000000001615 [doi]


*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]


MedStar National Rehabilitation Network


Journal Article