Fibrocartilaginøs emboli som årsak til arteria spinalis anterior-syndrom?

Nakstad, Ingvild; Randjelovic, Ivana; Bergan, Harald; Evensen, Kristin

doi:10.4045/tidsskr.19.0261

Cited by 2 publications

(6 citation statements)

References 5 publications

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“…The majority of those patients presented with sensory manifestations, as did our patient [ 6 , 7 , 8 ]. Most FCE patients described in the literature had bowel or bladder incontinence or both, as did our patient [ 3 , 4 , 8 , 9 ].…”

Section: Discussionsupporting

confidence: 67%

“…Our patient's symptoms also began with a sudden onset of mild neck pain followed by a progressive paralysis. Several cases reported progression to respiratory insufficiency requiring high dependency or even intensive care, especially where the upper spine was involved, as in ours [4,5]. Four kinds of triggers were identified in these cases: sports (37.5%), heavy lifting (14.6%), minor trauma (8.3%), spinal surgery (2.1%), and idiopathic triggers (37.5%).…”

Section: Discussionmentioning

confidence: 95%

“…Therefore, the initial management was often directed toward plasma exchange and immunotherapy along with rehabilitation, with little or no benefit. Upon diagnosis of FCE, these patients were recommended physiotherapy, which led to significant improvements [ 4 , 9 , 17 , 18 ]. In the current case also, our initial treatment with plasma exchange and immunotherapy with little benefit.…”

Section: Discussionmentioning

confidence: 99%

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Spinal Cord Infarct Due to Fibrocartilaginous Embolism in an Adolescent Boy: A Case Report and Literature Review

Al-Farsi¹,

Al-Abri²,

Al-Ajmi³

et al. 2023

Cureus

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Fibrocartilaginous embolism (FCE) is one of the rare causes of acute spinal cord infarction. We report the case of a previously healthy 14-year-old boy with this condition. A few hours after lifting heavy objects, he developed sudden quadriparesis. On examination, he had asymmetric hypotonic quadriparesis and normal dorsal column function but absent spinothalamic function in all limbs with sensory level to shoulder. Magnetic resonance imaging (MRI) of the spine confirmed the diagnosis of spinal infarction secondary to FCE. The patient initially received methylprednisolone and plasma exchange. A follow-up visit after neurorehabilitation showed improvement but with residual neurological deficit. Although FCE is rare, it should be kept as one of the differential diagnoses of an acute neurological deficit of the spinal cord.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Spinal Cord Infarct Due to Fibrocartilaginous Embolism in an Adolescent Boy: A Case Report and Literature Review

Al-Farsi¹,

Al-Abri²,

Al-Ajmi³

et al. 2023

Cureus

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“…Of all acute myelopathic cases, 5% to 8% are accounted for by ischemic etiologies [ 13 , 14 , 15 ], of which 1.5% to 5% were previously reported to be due to FCE [ 2 , 8 , 10 , 13 , 16 ]. As such, acute FCE ischemic myelopathy is a rare condition mostly reported by case reports and small case series [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Due to its rarity, FCE ischemic myelopathy is currently not well-recognized nor well-described, especially for the young [ 9 , 10 ]. It is also believed that it may be a significantly underdiagnosed condition, often confused with more common entities with similar presentation, especially transverse myelitis [ 3 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Acute Presentation and Long-Term Rehabilitation Follow-Up of Ischemic Myelopathy Due to Clinically Suspected Fibrocartilaginous Embolism in an Adolescent Male: A Case Report and Review

Berla,

Kerzhner,

Caspi

et al. 2023

Neurology International

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Ischemic myelopathy is uncommon in the pediatric population, with fibrocartilaginous embolism (FCE) being one of its rarest causes. We present the case of an otherwise healthy 17-year-old student who experienced sudden onset of severe low-back pain amidst intensive physical training, which rapidly deteriorated to complete sensory-motor paralysis of his lower limbs. He was treated with IV Methylprednisolone and anticoagulation after the initial work-up suggested spinal cord infarction. After eight days, sufficient clinical-radiological correlation was achieved to support FCE diagnosis as the most likely cause of infarction. He subsequently received inpatient rehabilitation treatment for four months, after which he was followed as an outpatient for a total period of 16 months. While significant neurological and functional gains were achieved during this period, he also experienced some worsening. This case highlights the importance both of performing a thorough assessment and being familiar with FCE as a possible differential diagnosis of spinal cord infarction in children, to facilitate its timely identification and proper acute and long-term management. This case report was prepared following CARE guidelines after obtaining the patient’s written informed consent.

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Fibrocartilaginøs emboli som årsak til arteria spinalis anterior-syndrom?

Cited by 2 publications

References 5 publications

Spinal Cord Infarct Due to Fibrocartilaginous Embolism in an Adolescent Boy: A Case Report and Literature Review

Spinal Cord Infarct Due to Fibrocartilaginous Embolism in an Adolescent Boy: A Case Report and Literature Review

Acute Presentation and Long-Term Rehabilitation Follow-Up of Ischemic Myelopathy Due to Clinically Suspected Fibrocartilaginous Embolism in an Adolescent Male: A Case Report and Review

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