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Endgames Case Review

Acute paraplegia in a healthy child

BMJ 2019; 367 doi: (Published 05 December 2019) Cite this as: BMJ 2019;367:l6257

This article has a correction. Please see:

  1. Abul Kalam Muzibul Haque, registrar paediatrics,
  2. Rajesh Bagtharia, consultant paediatrician,
  3. Jeewan Rawal, consultant paediatrician
  1. Correspondence to J Rawal jeewan.rawal{at}

A previously healthy 12 year old girl presented to the emergency department with two days of bilateral leg pain and the inability to walk.

She had no history of trauma, back pain, weight loss, night sweats, cough, or fever. She was born in India and moved to the UK at one year of age.

Clinical assessment showed a well child, with a non-tender mid thoracic swelling of the spine, and neurological examination showed upper motor neurone weakness of both legs.

She developed urine retention 24 hours after presentation. Radiographs of the chest showed a soft tissue swelling …

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