1982
DOI: 10.1136/bmj.284.6325.1334-b
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Missed injuries of the spinal cord.

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“…With some radiological abnormalities, it is easy for us to make a diagnosis of SCI because the sensitivity of CT for detecting bone injuries is very high and CT is available in almost all modern facilities. Several authors have already reported hypothermia patients with SCI . In this modern era, SCI in severe hypothermic patients would only be difficult to diagnose if there was no evidence of radiological abnormality.…”
Section: Discussionmentioning
confidence: 99%
“…With some radiological abnormalities, it is easy for us to make a diagnosis of SCI because the sensitivity of CT for detecting bone injuries is very high and CT is available in almost all modern facilities. Several authors have already reported hypothermia patients with SCI . In this modern era, SCI in severe hypothermic patients would only be difficult to diagnose if there was no evidence of radiological abnormality.…”
Section: Discussionmentioning
confidence: 99%
“…Injuries in the central nervous system, such as intracerebral bleeding and subdural hematoma, as well as chronic illnesses like Parkinson's disease, Alzheimer's disease or neoplasms can indirectly lead to impaired temperature regulation (Fox et al 1970, Chang andGill 1981). With spinal cord injuries, the afferent and efferent autonomic nerve fibers involved in thermo-sensing and thermoregulatory effector activities can be interrupted, leading to both increased heat loss and impaired heat generation (Pledger 1963;Ashworth et al 1982;Menard and Hahn 1991). Peripheral neuropathies, such as that caused by diabetes mellitus, can impair temperature regulation capacity; high plasma osmolality related to poorly regulated diabetes mellitus, as well as hypoglycemia or ketoacidosis all have a negative effect on the thermoregulatory activity of the hypothalamus.…”
Section: Predisposing Factorsmentioning
confidence: 99%