Vertebral body and spinal cord infarction in a pile-driver operator with fibrocartilaginous disc embolism

被引:0
|
作者
Murphy, S. J. X. [1 ,2 ,3 ]
McCabe, D. J. H. [1 ,2 ,4 ,6 ,8 ]
Donohoe, R. L. O. [5 ,7 ]
McCarthy, A. J. [1 ,2 ,8 ]
机构
[1] Tallaght Univ Hosp, Adelaide & Meath Hosp, Dept Neurol, Incorporating Natl Childrens Hosp AMNCH, Dublin, Ireland
[2] Tallaght Univ Hosp, Adelaide & Meath Hosp, Stroke Serv, Incorporating Natl Childrens Hosp AMNCH, Dublin, Ireland
[3] Chelsea & Westminster NHS Trust, Dept Neurol, London, England
[4] Tallaght Univ Hosp, Adelaide & Meath Hosp, Vasc Neurol Res Fdn, Incorporating Natl Childrens Hosp AMNCH, Dublin, Ireland
[5] Tallaght Univ Hosp, Adelaide & Meath Hosp, incorporating Natl Childrens Hosp AMNCH, Dept Radiol, Dublin, Ireland
[6] UCL Queen Sq Inst Neurol, Dept Clin & Movement Neurosci, Royal Free Campus, London, England
[7] St Vincents Univ Hosp, Dept Neurol, Dublin, Ireland
[8] Trinity Coll Dublin, Sch Med, Acad Unit Neurol, Dublin, Ireland
关键词
D O I
10.1016/j.clinme.2024.100226
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe the case of a male heavy machinery operator who presented from work with a rapidly evolving spinal cord syndrome. Spinal MRI revealed thoracic vertebral body and cord infarction and evolving mild disc prolapse attributed to fibrocartilaginous disc embolism (FCDE). FCDE should be considered as one of the aetiological mechanisms of acute spinal cord infarction in pile-driver/heavy machinery operators, especially in association with adjacent vertebral body infarction and intervertebral disc prolapse. Magnetic resonance imaging (MRI) changes may evolve, warranting early follow-up MRI in appropriate cases.
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页数:3
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