Spinal Cord Ischemia Related to Disc Herniation
| Autor: | Auke P.A. Appelman, Thea Heersema, Marlien W. Aalbers, D L Marinus Oterdoom, Beatrijs H.A. Wokke, Rob J. M. Groen |
|---|---|
| Přispěvatelé: | Neurology |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Cord Decompression medicine.medical_treatment Ischemia Case Report 030204 cardiovascular system & hematology Posterior spinal artery 03 medical and health sciences Myelopathy 0302 clinical medicine Spinal cord compression medicine.artery medicine business.industry Laminectomy acute myelopathy PARAPLEGIA General Medicine medicine.disease ARTERY SYNDROME Surgery vascular supply spinal cord Posterior cord 030221 ophthalmology & optometry business |
| Zdroj: | International Medical Case Reports Journal, 14, 429-433. Dove Medical Press Ltd. International Medical Case Reports Journal |
| ISSN: | 1179-142X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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