Abstract

Spinal cord infarction (SCI) occurs rarely and is characterized by abrupt onset of neck or back pain and neurologic deterioration. Fibrocartilaginous embolism (FCE) of the spinal cord is a rare but possible cause of acutely progressive spinal cord symptoms. Here, we report the case of an older woman who developed acute paraplegia with SCI on the 10th day after thoracic spine surgery. Although definitive FCE diagnosis can be confirmed only histologically, the characteristic clinical and radiological features were highly suggestive of FCE. Furthermore, 40 clinically suspected cases of FCE are reviewed.

中文翻译：

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临床疑似纤维软骨栓塞一例并文献复习

摘要

脊髓梗死 (SCI) 很少发生，其特征是突然发作的颈部或背部疼痛和神经功能恶化。脊髓纤维软骨栓塞 (FCE) 是一种罕见但可能导致急性进行性脊髓症状的原因。在这里，我们报告了一名老年妇女在胸椎手术后第 10 天出现急性截瘫并伴有 SCI 的病例。尽管只能通过组织学证实明确的 FCE 诊断，但特征性临床和放射学特征高度提示 FCE。此外，还审查了 40 例临床疑似 FCE 病例。