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Title: Fibrocartilaginous embolism: an under-recognised cause of young spinal stroke
Authors: Nagaratnam, Sai Adithya ;Sturm, Jonathan ;Lam Kwong Lee, Raymond 
Affliation: Central Coast Local Health District
Gosford Hospital
The University of Newcastle
Issue Date: May-2022
Source: Online ahead of print
Journal title: Practical Neurology
Department: Neurology
Abstract: Fibrocartilaginous embolism is a rarely reported cause of spinal cord infarction. Seemingly innocuous activities may be associated with nucleus pulposus material embolising to the spinal cord vasculature. We describe a 36-year-old woman presenting with bilateral arm paraesthesia and chest pain that evolved into an acute cord syndrome. Initial MR scan of spine showed central spinal cord T2-weighted hyperintensity over several vertebral levels, suggesting transverse myelitis. Repeat MR scan after her symptoms persisted showed an acute cord infarction from a presumed fibrocartilaginous embolus. Clinicians should consider fibrocartilaginous embolism in patients presenting with an acute cord syndrome with supportive radiological findings.
DOI: 10.1136/practneurol-2021-003322
ISSN: 1474-7758
Publicaton type: Journal Article
Keywords: Neurology
Study or Trial: Case Series and Case Reports
Appears in Collections:Neurology

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