| Rhabdomyolysis after heterotopic ossification: an unusual complication in a spinal cord injured patient. | |
| | |
MedLine Citation:
|
PMID: 22310884 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: Loss of joint mobility, resulting loss of function peripheral nerve entrapment and pressure sores are the known complications of heterotopic ossification. METHODS: We reported about a 32-year-old male patient, referred to our clinic presenting with incomplete tetraplegia after a motorcycle accident. The patient developed a HO in both hips 19 days after injury. Single-dose radiation therapy with 7 Gy with an electrode voltage of 15 MeV was performed. RESULTS: One month after radiation therapy, the patient developed a fever of 104ºF and blood tests showed increased C-reactive protein (CRP), creatinine kinase (CK), serum myoglobin and dark-colored urine due to myoglobinuria. Further diagnostic measures showed only massive recurrent HO. With the suspicion of a possible case of rhabdomyolysis due to the severe muscular distension caused by the recurrent HO, the patient was transferred to our intermediate care unit for further treatment. Forced diureses were applied to reduce the high levels of CK in blood. However, laboratory monitoring showed a further increase in CRP, CK (15,000 U/l) and myoglobin. A repeated radiation therapy was undertaken in a time interval of 14 days. After radiation therapy, a control MRI was performed and no signs of florid HO were visualized, CRP, CK, myoglobin, as well as body temperature and urine colour, had returned to normal and the patient was feeling well. CONCLUSIONS: We report the case of our patient to increase awareness among physicians and training staff working with patients with a spinal cord injury to expedite the diagnosis of rhabdomyolysis in the setting of HO and SCI. |
| | |
Authors:
|
Mustafa Citak; Eduardo M Suero; Manuel Backhaus; Renate Meindl; Thomas A Schildhauer |
Related Documents
:
|
22218734 - Atrial fibrillation predicts cognitive impairment in patients with ischemic stroke. 21994234 - Remission and radiographic outcome in rheumatoid arthritis: application of the 2011 acr... 21765124 - Increased 90-day mortality in acute heart failure patients with elevated copeptin: seco... 22466814 - The incidence of venous thromboembolism following stroke and its risk factors in easter... 18217884 - Ictal non-forced grasping behaviour. 8224134 - Total respiratory impedance and early emphysema. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-2-4 |
Journal Detail:
|
Title: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Volume: - ISSN: 1432-0932 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
|
Created Date: 2012-2-7 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9301980 Medline TA: Eur Spine J Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Germany, mcitak@gmx.de. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Age-related changes in osseous anatomy, alignment, and range of motion of the cervical spine. Part I...
Next Document: The correlation between coronal balance and neuroaxial abnormalities detected on MRI in adolescent i...