Image Quiz
Severe Neurologic Deficit Below L3 in a Fifteen-Year-Old Struck from Behind by a Motor Vehicle1
A fifteen-year-old girl was struck by a motor vehicle from behind and dragged approximately 15 m. Notable findings on examination included deep skin abrasions along a large portion of the back. The patient presented with severe paraparesis of both lower extremities below the L3 level and diminished sensation to light touch and pinprick below the L4 level. She had diminished perirectal sensation and loss of anal sphincter tone. The Achilles reflex was absent bilaterally.
Imaging studies were performed.
Fig. 1 |
Fig. 2 |
For larger view, click on image |
Fig. 3-A |
Fig. 3-B |
For larger view, click on image |
|
