Surfer’s myelopathy

Evidence-based neurology checklist on surfer’s myelopathy: Pathology This is a non-traumatic myelopathy associated with surfing It is an ischaemic myelopathy of the distal thoracic spinal cord It results from prolonged spinal hyperextension Valsalva manouevre whilst ‘popping up’ on the surf board…

Pathology

  • This is a non-traumatic myelopathy associated with surfing
  • It is an ischaemic myelopathy of the distal thoracic spinal cord
  • It results from prolonged spinal hyperextension
  • Valsalva manouevre whilst ‘popping up’ on the surf board also contributes

Other risk activities

Magnetic resonance imaging (MRI) spine: features

Angiography

Treatment

References

  1. Avilés-Hernández I, García-Zozaya I, DeVillasante JM. Nontraumatic myelopathy associated with surfing. J Spinal Cord Med 2007; 30:288-293.
  2. Cleaver J, Boehm M, Faulkner H. Acute paraparesis during surfing: the perils of riding the wave. Clin Med (Lond) 2022; 22:475-477.
  3. Nakamoto BK, Siu AM, Hashiba KA, et al. Surfer's myelopathy: a radiologic study of 23 cases. Am J Neuroradiol 2013; 34:2393-2398. 
  4. Bakhsheshian J, Chang KE, Strickland BA, Donoho DA, Christian EA. Teaching NeuroImages: Acute neurologic deficits due to surfer's myelopathy. Neurology 2016; 87:e206-e207. 
  5. Freedman BA, Malone DG, Rasmussen PA, Cage JM, Benzel EC. Surfer's myelopathy: a rare form of spinal cord infarction in novice surfers: a systematic review. Neurosurgery 2016; 78:602-611. 
  6. And 5 more. Subscribe to see the full list

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