Fibrocartilage embolic spinal cord infarction with intervertebral disc-herniation:Two case report
10.3969/j.issn.1002-0152.2024.10.005
- VernacularTitle:伴椎间盘突出的纤维软骨栓塞性脊髓梗死2例
- Author:
Minjia YANG
1
,
2
;
Fengli HUANG
;
Ping CHEN
;
Yongsheng WU
;
Jiajun LIN
;
Yue XU
Author Information
1. 福建省莆田市第一医院神经内科(莆田 351100)
2. 福建医科大学临床医学部
- Keywords:
Spinal cord infarction;
Intervertebral disc herniation;
MRI diffusion sequence;
Fibrocartilage embo-lism;
Follow-up
- From:
Chinese Journal of Nervous and Mental Diseases
2024;50(10):599-602
- CountryChina
- Language:Chinese
-
Abstract:
The clinical features,imaging data and prognosis of 2 patients with spinal cord infarction were summarized.Both patients presented with acute onset paraplegia and urinary retention.Spinal MRI showed high T2 signal and limited diffusion in the spinal cord.Patient 1 had spinal inflammatory changes and disc calcification and herniation at the T6 level.Cervical disc herniation was found in case 2 and the spinal lesions were all adjacent to the spinal infarct plane,but could not directly cause acute or chronic spinal cord compression.The clinical manifestations of two patients were acute stroke events.After the diagnosis of spinal cord infarction was confirmed,anti-platelet aggregation or anticoagulation and rehabilitation therapy were given,and the limb function of the patients gradually recovered to close to normal.The incidence of fibrocartilage embolism(FCE)associated with spinal disc disease is rare,and there is no consensus on treatment.This case provides experience and broadens thinking for the diagnosis,treatment and prognosis of spinal cord infarction.
