of cord compression or epidural, subdural, or intramedullary bleeding
may be present on MRI. Atrophy may occur with old lesions (Figure 127.1).
Although mental status should be normal in patients with cervical spinal
cord injury, it seldom is. Most patients are lethargic (at least during
the first hour after delivery) due to concomitant head trauma at the time
of the spinal cord injury. When traumatic spinal cord injury is suspected
in a neonate, the head should be immobilized.