Spinal Cord Ischemia Related to Disc Herniation: Case Report and a Review of the Literature.

Autor:	Aalbers MW; Department of Neurosurgery, University Medical Center Groningen, Groningen, The Netherlands., Groen RJM; Department of Neurosurgery, University Medical Center Groningen, Groningen, The Netherlands., Appelman APA; Department of Radiology, University Medical Center Groningen, Groningen, The Netherlands., Heersema TDJ; Department of Neurology, University Medical Center Groningen, Groningen, The Netherlands., Wokke BHA; Department of Neurology, Erasmus Medical Center, Rotterdam, The Netherlands., Oterdoom DLM; Department of Neurosurgery, University Medical Center Groningen, Groningen, The Netherlands.
Jazyk:	angličtina
Zdroj:	International medical case reports journal [Int Med Case Rep J] 2021 Jun 24; Vol. 14, pp. 429-433. Date of Electronic Publication: 2021 Jun 24 (Print Publication: 2021).
DOI:	10.2147/IMCRJ.S316797
Abstrakt:	Symptoms of spinal cord ischemia can mimic myelopathy due to spinal cord compression in the acute phase. Thoracic disc herniation with limited spinal cord compression but rapid progression of neurological symptoms causes a clinical dilemma as to whether emergency decompression should be performed. We report a case of acute progressive myelopathy due to spinal cord ischemia related to thoracic disc herniation initially managed by Th8 laminectomy with reduction of the herniated disc. Repeat imaging showed T2-weighted hyperintensity in the posterior cord. The clinical and radiological course supports posterior spinal artery ischemia. This case illustrates and a review of the literature shows that thoracic disc herniation may be complicated by ischemic myelopathy even in the absence of cord compression. Competing Interests: The authors report no conflicts of interest in this work. (© 2021 Aalbers et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu