Spinal cord stroke in a ballet dancer.
Fibrocartilaginous embolism of the intervertebral disc represents an uncommon cause of spinal cord infarction. We present the case of a previously healthy 30-year old ballet dancer who noted acute severe neck pain shortly after an intensive training session and developed weakness and numbness of both arms, as well as difficulties in emptying the bladder and bowel. Her clinical presentation and neuroimaging studies including diffusion weighted imaging were consistent with a spinal cord infarction in the anterior spinal territory at the C3-C6 spinal cord level. Although no histological confirmation was obtained, lack of evidence of other plausible diagnoses in the setting of the patient's clinical presentation and neuroimaging findings made fibrocartilaginous embolism the most likely etiopathogenetic mechanism of spinal stroke.
Spengos
Konstantinos
K
Department of Neurology, Eginition Hospital, University of Athens, Vas. Sofias 82-11528 Athens, Greece. spengos@hol.gr
Tsivgoulis
Georgios
G
Toulas
Panagiotis
P
Sameli
Sofia
S
Vassilopoulou
Sofia
S
Zakopoulos
Nikolaos
N
Sfagos
Konstantinos
K
D000062:Accidents, Occupational / Q000517:prevention & control; D000328:Adult; D000077144:Clopidogrel; D003615:Dancing / Q000293:injuries* / Q000502:physiology; D004617:Embolism / Q000150:complications* / Q000209:etiology / Q000503:physiopathology*; D005260:Female; D051445:Fibrocartilage / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007403:Intervertebral Disc / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D010291:Paresis / Q000209:etiology / Q000503:physiopathology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013116:Spinal Cord / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology*; D020760:Spinal Cord Ischemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000503:physiopathology; D014636:Valsalva Maneuver / Q000502:physiology
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine