Severe spinal cord ischemia subsequent to fibrocartilaginous embolism

Clinically suspected fibrocartilaginous embolism: clinical characteristics, treatments, and outcomes

“…The lack of available diagnostic criteria for FCE has otherwise prevented an accurate assessment of the benefit of a specific treatment. Isolated reports have found no benefit from intravenous steroids [21,22]. Steroids could be therapeutic in patients who suffer spinal cord edema related to either a vascular event or in other conditions that may present similarly to FCE.…”

“…Amongst patients with a clinical diagnosis of FCE, those that met the following three inclusion criteria (determined by the authors prior to chart review) were included in our analysis. These criteria are based on the approximately 40 autopsy-diagnosed [4][5][6][7][8][9][10][11] and 14 clinically suspected antemortem cases [1,4,12,13,[15][16][17][18][19][20][21][22][23] reported to date.…”

Fibrocartilaginøs emboli som årsak til arteria spinalis anterior-syndrom?

“…Diagnosen bør mistenkes ved typiske kliniske funn som rygg-eller nakkesmerter etterfulgt av akutt oppståtte og progredierende pareser, forutgående av eventuelt mindre traume, fravaer av vaskulaere risikofaktorer, MR-funn forenlig med iskemi og normale funn i spinalvaeske samt eksklusjon av andre mulige årsaker. Det forutgående traumet kan vaere noe så beskjedent som å løfte handleposer eller bruk av bukpressen ved toalettbesøk (6). Til skille fra inflammatoriske tilstander gir medullaere infarkter rask symptomprogresjon typisk over noen timer.…”

Acute Partial Brown-Séquard Syndrome Secondary to Intraforaminal Disc Prolapse and Spinal Cord Infarction

“…SCI is rare among younger patients and its aetiology often remains unexplained in more than 50% of cases. Differential diagnoses which have to be considered are spinal contusion, spinal hypoperfusion, acute transverse myelitis, and cord compression subsequent to medial disc herniation or tumour growth [1].…”