{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:34Z","timestamp":1753877194518,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A 42-year-old woman from a medically underserved community in rural New England was referred by her primary care provider (PCP) for televisit during the coronavirus disease 2019 (COVID-19) pandemic following 2\u00a0years of chronic neck pain and numbness in her left hand that was initially concerning for demyelinating disease. Upon further evaluation, it was revealed that she had experienced a traumatic fall with a concussion and symptoms consistent with central cord syndrome but had refused magnetic resonance imaging (MRI) at her initial medical evaluation. On MRI conducted 1\u00a0month prior to neurosurgical evaluation she was found to have a disc bulge and 4-mm\u00a0T2-hyperintense lesion at the C4\u2013C5 level that was consistent with a chronic spinal cord injury secondary to spinal trauma with associated vertebrogenic injury. This televisit confirmed the diagnosis of chronic spinal cord injury for this patient and allowed for discussion of future interventions, avoided further unnecessary referrals, and increased access to care.<\/jats:p>","DOI":"10.1093\/jscr\/rjab090","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T20:14:57Z","timestamp":1614111297000},"source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis of a chronic spinal cord injury via televisit in a patient from an underserved community"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7125-8303","authenticated-orcid":false,"given":"Jeffrey M","family":"Breton","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Tufts University School of Medicine, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith M","family":"George","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tufts University School of Medicine, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron I","family":"Riesenburger","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tufts University School of Medicine, Boston, MA, USA"},{"name":"Department of Neurosurgery, Tufts Medical Center, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"2021070811401583500_ref1","doi-asserted-by":"crossref","first-page":"bcr2016215122","DOI":"10.1136\/bcr-2016-215122","article-title":"Remote care of a patient with stroke in rural Trinidad: use of telemedicine to optimise global neurological care","volume":"2016","author":"Reyes","year":"2016","journal-title":"BMJ Case Rep"},{"key":"2021070811401583500_ref2","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.amjsurg.2020.04.026","article-title":"Implications for the use of telehealth in surgical patients during the COVID-19 pandemic","volume":"220","author":"Hakim","year":"2020","journal-title":"Am J Surg"},{"key":"2021070811401583500_ref3","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/j.amjsurg.2020.03.023","article-title":"Telemedicine to follow patients in a general surgery department. A randomized controlled trial","volume":"219","author":"Cremades","year":"2020","journal-title":"Am J Surg"},{"key":"2021070811401583500_ref4","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/978-3-319-30081-8_21","volume-title":"Diseases of the Brain, Head and Neck, Spine 2016-2019: Diagnostic Imaging","author":"Sundgren","year":"2016"},{"key":"2021070811401583500_ref5","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s12028-018-0537-5","article-title":"Current topics in the Management of Acute Traumatic Spinal Cord Injury","volume":"30","author":"Shank","year":"2019","journal-title":"Neurocrit Care"},{"key":"2021070811401583500_ref6","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1227\/NEU.0b013e318276edee","article-title":"Radiographic assessment","volume":"72","author":"Ryken","year":"2013","journal-title":"Neurosurgery"},{"key":"2021070811401583500_ref7","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/B978-0-323-65384-8.00004-3","volume-title":"Concussion","author":"Walker","year":"2020"},{"key":"2021070811401583500_ref8","doi-asserted-by":"crossref","first-page":"2332","DOI":"10.1016\/j.apmr.2008.06.012","article-title":"Functional and clinical outcomes of telemedicine in patients with spinal cord injury","volume":"89","author":"Dallolio","year":"2008","journal-title":"Arch Phys Med Rehabil"},{"key":"2021070811401583500_ref9","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1038\/s41393-017-0033-3","article-title":"Telehealth for people with spinal cord injury: a narrative review","volume":"56","author":"Irgens","year":"2018","journal-title":"Spinal Cord"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/4\/rjab090\/37140482\/rjab090.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/4\/rjab090\/37140482\/rjab090.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T20:30:40Z","timestamp":1625776240000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjab090\/6236084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,1]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjab090","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2021,4]]},"published":{"date-parts":[[2021,4,1]]},"article-number":"rjab090"}}