Subacute Post-Traumatic Ascending Myelopathy (SPAM) in a Spinal Cord Injured Patient - a Rare Presentation: A Case Report
https://doi.org/10.5704/MOJ.2103.022
- Author:
Kassim NK
1
;
Hanafi MH
2
;
Ibrahim AH
2
;
Hasnan N
3
Author Information
1. Basic Science and Oral Biology Unit, Universiti Sains Malaysia, Kubang Kerian, Malaysia
2. 2 Rehabilitation Medicine Unit, Universiti Sains Malaysia, Kubang Kerian, Malaysia
3. Department of Rehabilitation Medicine, University of Malaya, Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
myelopathy, hypotension, spinal cord injury
- From:Malaysian Orthopaedic Journal
2021;15(No.1):135-137
- CountryMalaysia
- Language:English
-
Abstract:
The optimisation of blood pressure management is critical in
managing hypotensive episodes in patients with spinal cord
injury. Improper handling of this preventable factor will
negatively impact the patient recovery prognosis. A 42-yearold man was admitted for a complete spinal cord injury after
fell from height. He developed subacute neurological
deterioration unrelated to the mechanical instability but due
to multiple episodes of hypotension occurring one month
after the initial injury. After proper management of blood
pressure, his deterioration was halted and no further
progression. Spinal cord haemodynamics play an important
role in mediating the onset of subacute post-traumatic
ascending myelopathy. Better education and awareness on
Subacute Post-traumatic Ascending Myelopathy (SPAM)
especially to the junior healthcare providers are important to
hinder this rare but avoidable condition.
- Full text:16.2021my1162.pdf
