{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:48:58Z","timestamp":1777888138660,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PRM"],"published-print":{"date-parts":[[2021,3,24]]},"abstract":"<jats:p>INTRODUCTION: Spinal cord infarction (SCI) in children is rare and difficult to diagnose. Fibrocartilaginous embolism (FCE) is probably the underlying cause for some unexplained cases of spinal cord infarcts. Abrupt back pain followed by a progressive syndrome of myelopathy appears to be the typical presentation, with a close temporal relationship between the onset of symptoms and preceding minor trauma. Supportive care and rehabilitation are essential in the treatment of children with SCI. CASE REPORT: A previously healthy 12-year-old girl who practiced acrobatic gymnastics was admitted to a rehabilitation centre 14 days after being diagnosed with an acute anterior SCI with no identified cause. Sensory modality of pin prick and light touch were impaired, with the former more significantly affected. She was not able to run and had difficulty on monopodal standing and performing motor sequencing. Additionally, she mentioned ineffective cough along with flatus incontinence and normal bladder function. After a 4-week multidisciplinary rehabilitation program her neurologic deficits improved. DISCUSSION: Given the patient\u2019s age and clinical presentation, a literature review led to the consideration of FCE as the most likely definitive diagnosis. It should be recognized as a cause of SCI especially in those involved in sport activities, even if previous trauma is denied.<\/jats:p>","DOI":"10.3233\/prm-200684","type":"journal-article","created":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T11:52:27Z","timestamp":1604663547000},"page":"97-101","source":"Crossref","is-referenced-by-count":1,"title":["Spinal cord infarction in children: Can gymnastics be a cause?"],"prefix":"10.1177","volume":"14","author":[{"given":"Margarida","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Centro de Reabilita\u00e7\u00e3o do Norte, Vila Nova de Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Be\u00e7a","sequence":"additional","affiliation":[{"name":"Centro de Reabilita\u00e7\u00e3o do Norte, Vila Nova de Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Almeida","sequence":"additional","affiliation":[{"name":"Centro de Reabilita\u00e7\u00e3o do Norte, Vila Nova de Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00eas","family":"Nat\u00e1rio","sequence":"additional","affiliation":[{"name":"Centro de Reabilita\u00e7\u00e3o do Norte, Vila Nova de Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipa","family":"Vilabril","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina F\u00edsica e de Reabilita\u00e7\u00e3o, Centro Hospitalar de Tr\u00e1s-os-Montes e Alto Douro, Vila Real, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarida","family":"Pereira","sequence":"additional","affiliation":[{"name":"Centro de Reabilita\u00e7\u00e3o do Norte, Vila Nova de Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Barreto","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Medicina F\u00edsica e de Reabilita\u00e7\u00e3o, Centro Hospitalar de Entre Douro e Vouga, Santa Maria da Feira, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonor","family":"Dias","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Neurologia, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e1tima","family":"Gandarez","sequence":"additional","affiliation":[{"name":"Centro de Reabilita\u00e7\u00e3o do Norte, Vila Nova de Gaia, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"4","key":"10.3233\/PRM-200684_ref1","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/j.pediatrneurol.2007.01.006","article-title":"Ischemic spinal cord infarction in children without vertebral fracture","volume":"36","author":"Nance","year":"2007","journal-title":"Pediatr Neurol"},{"issue":"2","key":"10.3233\/PRM-200684_ref2","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.ejpn.2012.09.002","article-title":"Non-traumatic spinal cord ischaemia in childhood \u2013 clinical manifestation, neuroimaging and outcome","volume":"17","author":"Stettler","year":"2013","journal-title":"Eur J Paediatr Neurol"},{"issue":"6","key":"10.3233\/PRM-200684_ref3","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1093\/pch\/20.6.289","article-title":"Case 2: acute paralysis in a 10-year-old girl","volume":"20","author":"Reid","year":"2015","journal-title":"Paediatr Child Health"},{"issue":"3","key":"10.3233\/PRM-200684_ref4","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s00381-014-2562-9","article-title":"Acute asymmetrical spinal infarct secondary to fibrocartilaginous embolism","volume":"31","author":"Rengarajan","year":"2015","journal-title":"Childs Nerv Syst"},{"key":"10.3233\/PRM-200684_ref5","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.pediatrneurol.2015.11.007","article-title":"Spinal cord stroke presenting with acute monoplegia in a 17-year-old tennis player","volume":"56","author":"Nelson","year":"2016","journal-title":"Pediatr Neurol"},{"issue":"5","key":"10.3233\/PRM-200684_ref6","doi-asserted-by":"publisher","first-page":"1436","DOI":"10.1007\/s00586-017-5047-1","article-title":"Expert\u2019s comment concerning Grand Rounds case entitled \u201cAcute complete paraplegia of a 8-year-old girl caused by spinal cord infarction following minor trauma complicated with longitudinal signal change of spinal cord\u201d by K. 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