Subacute Traumatic Ascending Myelopathy in a 28-Year-Old Man: A Rare Case

Aydoseli A., Ozgen U., Akgul T., Orhan E. K., Achyamare A. E., Can H., ...Daha Fazla

WORLD NEUROSURGERY, cilt.128, ss.143-148, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 128
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1016/j.wneu.2019.04.168
  • Dergi Adı: WORLD NEUROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.143-148
  • Anahtar Kelimeler: Ascending myelopathy, Gunshot injury, Neurologic deterioration, Spinal cord edema, SPINAL-CORD-INJURY, POSTTRAUMATIC MYELOMALACIC MYELOPATHY, NEUROLOGIC DETERIORATION, APOPTOSIS, FEATURES
  • İstanbul Üniversitesi Adresli: Evet

Özet

BACKGROUND: Subacute posttraumatic ascending myelopathy (SPAM) involves the rise in high signal intensity on T2-weighted images >= 4 vertebral segments above the initial injured site, and it usually occurs within the first few weeks after the injury. The pathophysiologic mechanisms of traumatic spinal cord damage are not clearly understood; however, there are some pathophysiologic processes such as arterial thrombosis, venous thrombosis, congestive ischemia, inflammatory or autoimmune reaction, and infection in the form of meningitis or myelitis that could lead to SPAM.