Thoracic myelitis as a possible cause of myocardial infarction.
During the course of an inflammatory process in the thoracic part of the spinal cord, a previously healthy male suffered two myocardial infarctions in separate coronary territories. A coronary angiogram revealed only minor wall changes in one coronary artery. We hypothesize that the myocardial infarctions may have been caused by vasospastic reactions secondary to his spinal cord pathology, and present the case report and a review of the literature.
Lappegård
K T
KT
Department of Medicine, Nordland Hospital, Bodo, Norway. knut.lappegard@nlsh.no
Justad
G
G
Prytz
J F
JF
Manhenke
C
C
D017023:Coronary Angiography / Q000379:methods; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009187:Myelitis / Q000150:complications* / Q000000981:diagnostic imaging; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D013904:Thoracic Vertebrae