| Resolution of SPAM following cordectomy: implications for understanding pathophysiology. | |
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MedLine Citation:
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PMID: 22158252 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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.Spinal Cord advance online publication, 13 December 2011; doi:10.1038/sc.2011.133. |
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Authors:
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T M Meagher; M Belci; L López de Heredia; O Ansorge; A Jamous; M Saif; R Hughes |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-13 |
Journal Detail:
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Title: Spinal cord Volume: - ISSN: 1476-5624 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609749 Medline TA: Spinal Cord Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Radiology, National Spinal Injuries Center, Stoke Mandeville Hospital, Buckinghamshire, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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