case_images: PMC5476653_01
case_images: Images illustrating the subregion of hyperalgesia, hyperesthesia, and muscle weakness.
case_images: jpr-10-1391Fig1.jpg
case_images: PMC5476653_01_jpr-10-1391Fig1.jpg
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case_images: Tenderness to palpation was found as hyperesthesia of the skin on the right lower leg and hyperalgesia on the right side of the above area (Figure 1).
case_images: Emergency MRI after the girl recovered from anesthesia in the local hospital.. Note: The black arrows show the location of cord injury.. Abbreviation: MRI, magnetic resonance imaging.
case_images: jpr-10-1391Fig2.jpg
case_images: PMC5476653_01_jpr-10-1391Fig2.jpg
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case_images: T2 signal found in the T12-L1 level spinal cord (Figure 2). The MRI result indicated that her symptoms seemed to result from the unexpected needle puncture.
case_images: Repeat MRI after the administration of neurotropin.. Notes: (A and B) Sagittal MRI shows the cord injury after the 14th and 30th days of continual treatment, respectively; (C) the myelomalacia of SCI nearly disappeared after about 15 months after continual treatment. The black arrows show the location of cord injury.. Abbreviations: MRI, magnetic resonance imaging; SCI, spinal cord injury.
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case_images: PMC5476653_01_jpr-10-1391Fig3.jpg
case_images: f3-jpr-10-1391
case_images: During the next few days, the patient's clinical symptoms of neuropathic pain and motor disorder started to improve, but the repeat MRI result (Figure 3A) did not reveal any healing, still indicating the myelomalacia of SCI and spinal cord swelling. One month later, none of her neurologic symptoms persisted, while the MRI result indicated the recovery of SCI as well (Figure 3B). Fifteen months later, the MRI result (Figure 3C) confirmed that the myelomalacia of SCI had nearly disappeared.