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Editor—The diagnosis of spinal cord injury is often delayed and/or missed in neonates.1 Non-invasive imaging, such as ultrasonography and magnetic resonance imaging, is important to confirm the diagnosis.
From 1990 to 1997, we observed four spinal cord injuries in neonates. Three of these infants had a cephalic presentation and needed instrumental delivery using forceps. The other infant was a breech presentation and was born vaginally without instrumentation. The infants were depressed at birth, with no spontaneous breathing, and they all needed tracheal intubation. Two infants remained totally unreactive throughout their course, whereas a suck reflex and opening of the eyes were noted 24 hours after birth …