Postmyelography Acute Paraplegia in Patients With Spinal Cord Stimulators: Case Series and Review of Literature.

IF 1.7 Q2 SURGERY

International Journal of Spine Surgery Pub Date : 2025-05-09 DOI:10.14444/8760

César Carballo Cuello, Jay Kumar, Gabriel Flores-Milan, Diego Soto Rubio, Bryan Clampitt, Puya Alikhani

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引用次数: 0

Abstract

Background: Computed tomography (CT) myelography is an important imaging modality utilized in patients who cannot tolerate magnetic resonance imaging (MRI) due to severe artifact or because of the presence of MRI incompatible medical devices. In the setting of thoracic stenosis and a spinal cord stimulator (SCS), it can predispose patients to develop acute weakness and paraplegia after myelography.

Case presentation: We present 2 patients with symptomatic thoracic stenosis who developed acute paraplegia after a CT myelogram. Both patients had SCSs due to a history of back pain and were taken emergently to the operating room for SCS removal and thoracic spine decompression.

Conclusion: To our knowledge, these are the first reported cases of acute paraplegia postmyelography in the presence of an SCS in the thoracic spine. This report serves as an important warning and possible emerging contraindication for ordering CT myelography in patients with thoracic stenosis in the presence of an SCS.

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脊髓造影后急性截瘫患者的脊髓刺激：病例系列和文献回顾。

背景：计算机断层扫描（CT）脊髓造影是一种重要的成像方式，用于由于严重伪影或由于MRI不兼容的医疗设备的存在而不能耐受磁共振成像（MRI）的患者。在胸椎狭窄和脊髓刺激器（SCS）的情况下，它可以使患者在脊髓造影后发生急性虚弱和截瘫。病例介绍：我们报告了2例有症状的胸椎狭窄的患者，他们在CT骨髓造影后发展为急性截瘫。两例患者均因背部疼痛病史而出现SCS，并被紧急送往手术室进行SCS切除和胸椎减压。结论：据我们所知，这是首次报道的胸椎脊髓造影后出现SCS的急性截瘫病例。该报告作为一个重要的警告和可能出现的禁忌症，在胸椎狭窄患者存在SCS的情况下进行CT脊髓造影。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Spine Surgery Medicine-Surgery

CiteScore

3.10

自引率

0.00%

发文量

162

期刊介绍： The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.