ArticleCureus2026
Cervical Spinal Cord Injury Without Radiographic Evidence of Trauma (SCIWORET) in an Adult: A Rare Diagnosis in the Intensive Care Unit.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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5 authors.
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Abstract
Spinal cord injury without evidence of trauma (SCIWORET) is an uncommon clinical entity in adults, typically associated with pre-existing degenerative spinal conditions, as well as vascular susceptibility. Its diagnosis in the intensive care unit (ICU) is challenging due to the confounding effects of sedation and post-arrest encephalopathy. A 67-year-old man suffered a cardiac arrest triggered by severe hyponatremia (Na+ 115 mmol/L ) during colonoscopy preparation. After resuscitation, he exhibited spastic tetraparesis. While CT was negative for acute trauma, MRI revealed a hyperintense T2-signal from the bulbomedullary junction to C3, with a characteristic "H-sign" in the anterior horns, confirming spinal cord infarction or transverse myelitis of undetermined etiology, favoring the diagnosis of SCIWORET. Following intensive rehabilitation, the patient achieved near-total functional recovery. SCIWORET should be suspected in post-arrest patients with "neurological mismatch." Early MRI is essential to differentiate focal spinal ischemia from global hypoxic brain injury, facilitating early multidisciplinary rehabilitation.
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