We describe a patient admitted with pneumonia two weeks after falling down stairs. On admission, spinal cord injury was excluded by computed tomography (CT). At day 3 of admission in-hospital cardiac arrest occurred. With this case, we want to create awareness that even two weeks post trauma, spinal cord injury can be missed on CT with fatal consequences. We advocate an MRI in patients with persistent localised neck pain or neurological deficits as well as in patients with altered mental status to exclude soft tissue injuries.
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