Resolution of SPAM following cordectomy: implications for understanding pathophysiology.
case_report · Level V
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- Record sourced from PubMed, PMID 22158252.
- Also identified by DOI 10.1038/sc.2011.133.
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Abstract
Case report. To describe the clinical benefit of a spinal cordectomy with the aim of limiting neurological deterioration related to the development of a subacute posttraumatic ascending myelopathy (SPAM) supporting previously described mechanism for SPAM formation. National Spinal Injuries Centre, Stoke Mandeville Hospital, UK. A 38-year old patient presented 6 months after spinal cord injury substantial neurological deterioration expanding from the initial T4-injury level through C4. Magnetic resonance imaging revealed intra-medullary haemorrhage at the site of injury and subsequent-ascending cord oedema. A cordectomy was performed leading to neurological stabilisation and complete resolution of SPAM. Cordectomy can be an effective intervention in case of rapid progressive neurological deterioration.
Medical subject headings
- Hemorrhage
- Spinal Cord Injuries