Özet:
Traumatic central cord syndrome (TCCS) is the most frequently encountered
incomplete spinal cord injury, and it is a relatively rare situation in children younger than 15 years, but
may have serious consequences.
METHODS: We report the case of a 2-year-old female child with upper extremity weakness
following a simple fall. All vitals and systemic examination findings were normal, except for 2/5
muscular strength in the upper extremities. While radiographic imaging showed no pathologic
fi ndings, MRI exposed spinal injury. The patient was treated conservatively with medication only. The
medical treatment of the patient consisted of anti-edema treatment with methylprednisolone in the
first 24 hours; 330 mg of methylprednisolone infused in the first hour, followed by 59 mg per hour
during the next 23 hours. Along with pharmacological treatment, she received physiotherapy sessions
during her 11-day hospitalization period.
RESULTS: The child had full recovery within 6 months after conservative treatment.
CONCLUSION: Neurological deficit without plain radiographic evidence in pediatric spinal
trauma patients is a rare but signifi cant incident
