Lab Studies:
Complete blood count: white blood cells 5.83, hemoglobin 12.3, hematocrit <br>36.6, platelets 181 <br>Comprehensive metabolic panel: alanine transaminase 65, aspartate transaminase 73, <br>otherwise normal electrolytes and renal function <br>Coagulation studies: prothrombin time 14.4, international normalized ratio 1.09, Partial thromboplastin time 27 <br>Urine drug screen: Negative

Other Studies:
1. Computed tomography (CT) of the brain ruled out any intracranial hemorrhage. <br>2. CT of the spine did not show any evidence of fractures or subluxation. The patient had normal alignment and cervical lordosis, no anatomical abnormalities. <br>3. Magnetic resonance imaging (MRI) of the brain further ruled out any intracranial pathology. <br> <a href="CaseStudyImages/CS1FridayNightPalsyS-1083.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>4. MRI of the spine showed no evidence of fracture or subluxation, ligamentous injury, or evidence of cord contusion. <br>There was a broad-based disc bulge at C3-C4 with normal central canal diameter. <a href="CaseStudyImages/CS2CS1FridayNightPal-1083.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1FridayNight-1083.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br>The narrowest portion of the spinal canal was 9.7 mm (TORG ratio >0.85) meaning no significant stenosis. Of note, the MRI was performed 1 hour from the time of injury, which is clinically relevant because we should start to see evidence of cord edema/injury on MRI at this time. <br> <br> <br>1. CT of the brain ruled out any intracranial hemorrhage. <br>2. CT of the spine did not show any evidence of fractures or subluxation. The patient had normal alignment and cervical lordosis, no anatomical abnormalities. <br>3. MRI of the brain further ruled out any intracranial pathology. <br> <br>4. MRI of the spine showed no evidence of fracture or subluxation, ligamentous injury, or evidence of cord contusion. <br>There was a broad based disc bulge at C3-C4 with normal canal diameter. <br>The narrowest portion of the spinal canal was 9.7 mm, (TORG ratio >0.85) meaning no significant stenosis. Of note, the MRI was performed after 1 hour of the injury, which is clinically relevant because we should start to see evidence of cord edema/injury on MRI at this time.

Consultations:
Sports Medicine <br>Trauma Team <br>Neurosurgery

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