KMID : 1235920100020020103
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Medical Journal of Catholoc University of Daegu 2010 Volume.2 No. 2 p.103 ~ p.106
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Development of Spinal Cord Edema in the White Matter after Anterior Decompression for Cervical Myelopathy - A Case Report -
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Park Gi-Young
Lee Won-Yub Kwon Dong-Rak
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Abstract
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A 56-year-old man presented with numbness of both hands and quadriparesis with bilateral extensor plantar responses. Radiologic studies revealed diffuse bulging with severe cord compression and stenosis at C5-6. The patient underwent C5 corpectomy and anterior cervical interbody fusion using titanium mesh cage(Medtronic sofamor Danek, Memphis, TN) at C4~6. Two weeks after surgery T2-weighted MR imaging at the C5-6 level revealed high signal intensity in the white matter of the spinal cord. T2-weighted MR image obtained 2 months after surgery demonstrated a significant decrease in an area of high signal intensity and the patient achieved good recovery of motor function. We present a case of spinal cord edema after decompressive surgery for cervical myelopathy. The unusual presentation after operation may result from disturbed local venous circulation.
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KEYWORD
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Cervical myelopathy, Decompressive surgery, Spinal cord edema
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