Neurologic Injury Following Bobsled Crash: A Case Report - Page #4
 

Working Diagnosis:
Spinal cord contusion. <br> <br>American Spinal Injury Association (ASIA) class E: radiographic evidence of spinal cord injury (SCI) without deficits on exam.

Treatment:
He was transferred to a regional trauma hospital spinal unit for tertiary survey and 48-hour monitoring of bowel, bladder, respiratory function, and pain. No steroids were administered.

Outcome:
Residual neurologic symptoms resolved. He was educated on signs and symptoms to report within 72 hours following SCI, then discharged to his team physician.

Author's Comments:
Return to Activity and Follow-Up: The patient and team physician reported no signs or symptoms of myelopathy within 72 hours. If present, this would have necessitated a repeat ASIA exam and workup. The medical unit of the international competition received no report of neurologic symptoms upon return to the athlete&#039;s home country.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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