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Severe hyperextension injuries to the cervical spine are a well recognised cause of tetraparesis in young adults.In the elderly,however,a fairly trivial injury to the neck can cause an unexpectedly severe neurological deficit.Doctors'lack of appreciation of an interaction between a minor hyperextension injury to the neck and pre-existing,often asymptomatic, cervical spondylosis can lead to delay in making a correct diagnosis.We describe one typical patient(case 1)in detail and report on six other patients who presented over six years to a neurological centre. |
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