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

Marlien W. Aalbers, Rob J. M. Groen, Auke P. A. Appelman, Thea D. J. Heersema, Beatrijs H. A. Wokke, D. L. Marinus Oterdoom*

*Corresponding author for this work

    Research output: Contribution to journalReview articleAcademicpeer-review

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    Abstract

    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.

    Original languageEnglish
    Pages (from-to)429-433
    Number of pages5
    JournalInternational medical case reports journal
    Volume14
    DOIs
    Publication statusPublished - 24-Jun-2021

    Keywords

    • acute myelopathy
    • vascular supply spinal cord
    • ARTERY SYNDROME
    • PARAPLEGIA

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