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Anterior spinal cord infarction owing to possible fibrocartilaginous embolism

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Abstract

Anterior spinal artery syndrome is characterised by acute flaccid quadriparesis or paraparesis, disturbance of pain and temperature sensation, and loss of sphincter control. Fibrocartilaginous embolism is a rarely recognised, but important cause of spinal cord infarction. Fibrocartilaginous embolisation usually occurs after minor trauma without major bony lesions, typically with an intervening symptom-free interval and progressive ‘stroke-in-evolution’ course. There is evidence that the embolus originates from the intervertebral disc, but the mechanism whereby disc fragments enter the spinal vessels is not well understood. We describe the evolution of MRI findings in a case of anterior spinal artery territory infarction thought to be secondary to fibrocartilaginous embolism.

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References

  1. Naiman JL, Donohue WL, Prichard JS (1961) Fatal nucleus pulposus embolism of spinal cord after trauma. Neurology 11:83–87

    CAS  PubMed  Google Scholar 

  2. Massachusetts General Hospital (1991) Case records. N Engl J Med 324:322–332

    PubMed  Google Scholar 

  3. Tosi L, Rigoli G, Beltramello A (1996) Fibrocartilaginous embolism of the spinal cord: a clinical and pathogenetic reconsideration. J Neurol Neurosurg Psychiatry 60:55–60

    CAS  PubMed  Google Scholar 

  4. Davis GA, Klug GL (2000) Acute-onset nontraumatic paraplegia in childhood: fibrocartilaginous embolism or acute myelitis? Childs Nerv Syst 16:551–554

    Article  CAS  PubMed  Google Scholar 

  5. Freyaldenhoven TE, Mrak RE, Rock L (2001) Fibrocartilaginous embolization. Neurology 56:1354

    CAS  PubMed  Google Scholar 

  6. Feigin I, Popoff N, Adachi M (1965) Fibrocartilaginous venous emboli to the spinal cord with necrotic myelopathy. J Neuropathol Exp Neurol 24:63–74

    CAS  PubMed  Google Scholar 

  7. Srigley JR, Lambert CD, Bilbao JM, et al (1981) Spinal cord infarction secondary to intervertebral disc embolism. Ann Neurol 9:296–301

    CAS  PubMed  Google Scholar 

  8. Bots GT, Wattendorff AR, Buruma OJ, et al (1981) Acute myelopathy caused by fibrocartilaginous emboli. Neurology 31:1250–1256

    CAS  PubMed  Google Scholar 

  9. Rovira A, Pedraza S, Comabella M, et al (1998) Magnetic resonance imaging of acute infarction of the anterior spinal cord. J Neurol Neurosurg Psychiatry 64:279–281

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Medical Imaging, The Children’s Hospital at Westmead, Sydney, 2145, Australia

    Ashok Raghavan, Ella Onikul, Kristina Prelog, Ajay Taranath & Murthy Chennapragada

  2. Institute of Neuromuscular Research, Children’s Hospital at Westmead, Sydney, 2145, Australia

    Monique M. Ryan

Authors
  1. Ashok Raghavan
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  2. Ella Onikul
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  3. Monique M. Ryan
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  4. Kristina Prelog
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  5. Ajay Taranath
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  6. Murthy Chennapragada
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Correspondence to Ella Onikul.

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Raghavan, A., Onikul, E., Ryan, M.M. et al. Anterior spinal cord infarction owing to possible fibrocartilaginous embolism. Pediatr Radiol 34, 503–506 (2004). https://doi.org/10.1007/s00247-003-1133-0

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  • DOI: https://doi.org/10.1007/s00247-003-1133-0

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