Holocord myelopathy with thoracic stenosis: case report and hypothesis.
METHODS
Case report


OBJECTIVE
To examine the resolution of holocord myelopathy based on the hypothesis of altered cerebrospinal fluid (CSF) dynamics.


METHODS
Seoul National University Hospital, Seoul, Korea.


METHODS
We describe a case of thoracic stenosis with holocord myelopathy, which suggests an alternative mechanism for the myelopathy.


RESULTS
Decompression of the thoracic stenosis resulted in the resolution of holocord myelopathy.


CONCLUSIONS
Myelopathy may be caused by altered CSF dynamics and this type of myelopathy seems to be interstitial edema. Improvement of altered CSF flow dynamics could resolve this type of myelopathy.
Kim
C H
CH
Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea.
Chung
C-K
CK
Kwon
B J
BJ
Kim
H J
HJ
D019299:Decompression, Surgical / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D020335:Paraparesis / Q000175:diagnosis / Q000209:etiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D013116:Spinal Cord / Q000098:blood supply*; D013118:Spinal Cord Diseases / Q000150:complications / Q000175:diagnosis*; D013130:Spinal Stenosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome