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ISSN 2225-4676 (Electronic)

2013, Number 1

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Rev Cubana Neurol Neurocir 2013; 3 (1)

Ischemic myelopathy: a case presentation

Serra VMA, Fabra AGS

Language: Spanish
References: 11
Page: 88-92
PDF size: 297.08 Kb.


ABSTRACT

Introduction: The spinal cord infarct is an uncommon entity and may be produced by diverse causes and different mechanisms. Generally, the damage is irreversible and the patients die in relation with complications of the prostration. It is described, by the scientific and educational importance, a case with infarct of the spinal cord, the probable cause of it, and clinic presentation.
Clinical case: 47–years woman, with severe spondiloarthrosis, antecedent of arterial hypertension (without treatment) and overweight. During prolonged flexion of the trunk and hyperextension of the neck, she presented an acute high dorsal pain, paralysis of arms and legs and loss of pain sensation and temperature below T3–T4 levels; it was accompanied by dysfunction of sphincters. The magnetic resonance image was useful in the diagnosis and very important to exclude other causes of acute myelopathy. The patient had a stable evolution during two months, without recovery of symptoms in spite of the treatment. The death occurred in respiratory insufficiency by bacterial bronchopneumonia and generalized sepsis.
Conclusions: The infarction of spinal cord, although uncommon, may be observed in the clinic practice and we must think this possibility in presence of acute disorder of the spinal cord, principally in patients with risk factors.


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