Spinal cord ischemia in Scheuermann disease: A report of three cases

被引：3

作者：

Chiche, Lea ^{[1
]}

Carlier, Robert-Yves

Siahou, Dan

Nataf, Arnaud

Hugeron, Caroline ^{[2
]}

Palazzo, Clemence ^{[3
,4
]}

机构：

[1] Hop Raymond Poincare, AP HP, Serv Imagerie Med, Grp Rachis, F-92380 Garches, France

[2] Hop Raymond Poincare, AP HP, Serv Reeducat, F-92380 Garches, France

[3] Hop Cochin, AP HP, Serv Reeducat & Readaptat Appareil Locomoteur & P, F-75014 Paris, France

[4] INSERM, U1153, Fac Med Paris Descartes, F-75006 Paris, France

来源：

JOINT BONE SPINE | 2017年 / 84卷 / 03期

关键词：

Spinal cord ischemia; Disc herniation; Scheuermann's disease; Kyphosis; Neurological complication; COMPRESSION; THROMBOLYSIS; KYPHOSIS; ARTERY; CYST;

D O I：

10.1016/j.jbspin.2016.10.007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Neurological complications in Scheuermann's disease are rare but serious. Case reports: We report three cases of severe neurological deficit due to medullar ischemia attributable to the compression of a radiculomedullar artery by thoracic (two cases) and lumbar (one case) disc herniations associated with Scheuermann's disease. They were not treated surgically because of the absence of direct spinal cord compression or definitive spinal cord ischemia. Those young patients still have severe neurological damage. An earlier management could have prevented them. Conclusion: When doubting about any compressive sign, MRI should be performed with diffusion weighted imaging (DWI) and apparent diffusion coefficient (ADC) sequences in emergency. (C) 2016 Published by Elsevier Masson SAS on behalf of Societe francaise de rhumatologie.

引用

页码：345 / 348

页数：4

共 18 条

[1] Upper and lower spinal cord blood supply: The continuity of the anterior spinal artery and the relevance of the lumbar arteries [J].

Biglioli, P ;

Roberto, M ;

Cannata, A ;

Parolari, A ;

Fumero, A ;

Grillo, F ;

Maggioni, M ;

Coggi, G ;

Spirito, R .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2004, 127 (04) :1188-1192

[2] PARAPARESIS DUE TO DORSAL SCHEUERMANNS KYPHOSIS IN AN ADOLESCENT - A CASE-REPORT [J].

BRUNS, J ;

HEISE, U .

ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE, 1994, 132 (05) :390-393

[3] CORD COMPRESSION CAUSED BY MULTIPLE DISC HERNIATIONS AND INTRASPINAL CYST IN SCHEUERMANNS-DISEASE [J].

CHIU, KY ;

LUK, KDK .

SPINE, 1995, 20 (09) :1075-1079

[4] Rapidly progressive paraplegia due to an extradural lumbar meningocele mimicking a cyst - Case report [J].

Fiss, Ingo ;

Danne, Marco ;

Hartmann, Christian ;

Brock, Mario ;

Stendel, Ruediger .

JOURNAL OF NEUROSURGERY-SPINE, 2007, 7 (01) :75-79

[5] Thoracic cord compression caused by disk herniation in Scheuermann's disease: A case report and review of the literature [J].

Kapetanos G.A. ;

Hantzidis P.T. ;

Anagnostidis K.S. ;

Kirkos J.M. .

European Spine Journal, 2006, 15 (Suppl 5) :S553-S558

[6] SCHEUERMANN DORSAL KYPHOSIS AND SPINAL-CORD COMPRESSION - CASE-REPORT [J].

KLEIN, DM ;

WEISS, RL ;

ALLEN, JE .

NEUROSURGERY, 1986, 18 (05) :628-631

[7] Systemic thrombolysis in anterior spinal artery syndrome: what has to be considered? [J].

Koch, Mia ;

Sepp, Dominik ;

Prothmann, Sascha ;

Poppert, Holger ;

Seifert, Christian L. .

JOURNAL OF THROMBOSIS AND THROMBOLYSIS, 2016, 41 (03) :511-513

[8] Acute Spinal Cord Ischemia: Treatment with Intravenous and Intra-Arterial Thrombolysis, Hyperbaric Oxygen and Hypothermia [J].

Lee, K. ;

Strozyk, D. ;

Rahman, C. ;

Lee, L. K. ;

Fernandes, E. M. ;

Claassen, J. ;

Badjatia, N. ;

Mayer, S. A. ;

Pile-Spellman, J. .

CEREBROVASCULAR DISEASES, 2010, 29 (01) :95-U101

[9] NEUROLOGIC DEFICITS SECONDARY TO SPINAL DEFORMITY - A REVIEW OF THE LITERATURE AND REPORT OF 43 CASES [J].

LONSTEIN, JE ;

WINTER, RB ;

MOE, JH ;

BRADFORD, DS ;

CHOU, SN ;

PINTO, WC .

SPINE, 1980, 5 (04) :331-355

[10]

Muller K I., 2012, BMJ Case Rep, pbcr2012006862

← 1 2 →