Resolution of SPAM following cordectomy: implications for understanding pathophysiology.
STUDY DESIGN: Case report. OBJECTIVE: To describe the clinical benefit of a spinal cordectomy with the aim of limiting neurological deterioration related to the development of a subacute posttraumatic ascending myelopathy (SPAM) supporting previously described mechanism for SPAM formation. SETTING:...
| Main Authors: | , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2012
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| Summary: | STUDY DESIGN: Case report. OBJECTIVE: To describe the clinical benefit of a spinal cordectomy with the aim of limiting neurological deterioration related to the development of a subacute posttraumatic ascending myelopathy (SPAM) supporting previously described mechanism for SPAM formation. SETTING: National Spinal Injuries Centre, Stoke Mandeville Hospital, UK. METHOD AND RESULTS: A 38-year old patient presented 6 months after spinal cord injury substantial neurological deterioration expanding from the initial T4-injury level through C4. Magnetic resonance imaging revealed intra-medullary haemorrhage at the site of injury and subsequent-ascending cord oedema. A cordectomy was performed leading to neurological stabilisation and complete resolution of SPAM. CONCLUSION: Cordectomy can be an effective intervention in case of rapid progressive neurological deterioration. |
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