[Spinal fibrocartilaginous embolism].
Fibrocartilaginous embolism (FCE) of the spinal cord is a rare cause of ischemic myelopathy. We describe a 13-year-old patient with probable post-traumatic FCE. History of disease, clinical presentation, diagnostic workup, and disease course are outlined. Diagnosing FCE in the living often seems to be merely conjectural. Therefore, vertebral edema adjacent to the level of the spinal lesion is a possibly valuable diagnostic hint of spinal ischemia. Furthermore, exclusion of systemic embolism and other etiologies of myelopathy is necessary to corroborate the diagnosis of FCE. The postulated pathomechanism, diagnostic procedures, therapy, and prognosis of FCE are discussed in this article.
Furtner
M
M
Universitätsklinik für Neurologie, Medizinische Universität Innsbruck, Austria. martin.furtner@uibk.ac.at
Felber
S
S
Poewe
W
W
D000293:Adolescent; D004617:Embolism / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000209:etiology*; D013119:Spinal Cord Injuries / Q000150:complications / Q000175:diagnosis; D020760:Spinal Cord Ischemia / Q000175:diagnosis* / Q000209:etiology*
Cerebrovasc Dis. 2001 Aug;12 (2):142-3
11490109
Brain. 2001 Aug;124(Pt 8):1509-21
11459743
J Neurol. 2002 Jul;249(7):936-7
12212557
Neurology. 1981 Oct;31(10):1250-6
7202135
Stroke. 1998 Jan;29(1):239-43
9445357
Neurology. 1961 Jan;11:83-7
13727534
J Neuropathol Exp Neurol. 1965 Jan;24:63-74
14253574
Surg Neurol. 1995 Sep;44(3):228-34; discussion 234-5
8545773
N Engl J Med. 1991 Jan 31;324(5):322-32
1986291
Spine (Phila Pa 1976). 2003 Jul 1;28(13):E260-4
12838116
Neuroradiology. 2002 Oct;44(10):851-7
12389137
Spine (Phila Pa 1976). 1994 Feb 1;19(3):360-6
8171373
Spinal Cord. 2002 May;40(5):244-7
11987007
J Neurol Neurosurg Psychiatry. 1996 Jan;60(1):55-60
8558152