Abstract
Posttraumatic subacute ascending myelopathy is a rare late complication of spinal trauma. We present a case of 24-year-old male patient of motor vehicle accident who initially presented with T12 vertebral fracture and associated cord compression and signal changes in lower dorsal cord causing paraplegia with bladder and bowel involvement. In the subsequent week, he developed complete paraplegia with cord signal abnormality on magnetic resonance imaging extending cephalad from the injury site to involve the cervicomedullary junction. The patient clinically and radiologically improved over 6 weeks on steroid treatment.
Similar content being viewed by others
References
Schmidt BJ (2006) Subacute delayed ascending myelopathy after low spine injury: case report and evidence of a vascular mechanism. Spinal Cord 44(5):322–325
Belanger E, Picard C, Lacerte D, Lavallee P, Levi AD (2000) Subacute posttraumatic ascending myelopathy after spinal cord injury. Report of three cases. J Neurosurg 93:294–299
Frankel HL (1969) Ascending cord lesion in the early stages following spinal injury. Paraplegia 7(2):111–118
Yablon IG, Ordia J, Mortara R, Reed J, Spatz E (1989) Acute ascending myelopathy of the spine. Spine 14(10):1084–1089
Aito S, El Masry WS, Gerner HJ, Lorenzo ND, Pellicanò G, D’Andrea M, Fromm B, Freund M (1999) Ascending myelopathy in the early stage of spinal cord injury. Spinal Cord 37(9):617–623
Cassar-Pullicino VN, Colhoun E, McLelland M, McCall IW, el Masry W (1995) Hemodynamic alterations in the paravertebral venous plexus after spinal injury. Radiology 197(3):659–663
Krishnan C, Malik JM, Kerr DA (2004) Venous hypertensive myelopathy as a potential mimic of transverse myelitis. Spinal Cord 42(4):261–264
Visocchi M, Di Rocco F, Meglio M (2003) Subacute clinical onset of posttraumatic myelopathy. Acta Neurochir 145(9):799–804
Tator CH, Fehlings MG (1991) Review of the secondary injury theory of acute spinal cord trauma with emphasis on vascular mechanisms. J Neurosurg 75(1):15–26
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kumar, A., Kumar, J., Garg, M. et al. Posttraumatic subacute ascending myelopathy in a 24-year-old male patient. Emerg Radiol 17, 249–252 (2010). https://doi.org/10.1007/s10140-009-0832-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10140-009-0832-8