一名患有纤维软骨椎间盘栓塞的打桩机操作员的椎体和脊髓梗塞。

IF 3.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Clinical Medicine Pub Date : 2024-07-01 Epub Date: 2024-07-05 DOI:10.1016/j.clinme.2024.100226

Sjx Murphy, Djh McCabe, R L O Donohoe, A J McCarthy

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引用次数: 0

摘要

我们描述了一例男性重型机械操作员的病例，他下班后出现了迅速发展的脊髓综合征。脊柱磁共振成像显示，胸椎椎体和脊髓梗死以及不断演变的轻度椎间盘脱出归因于纤维软骨椎间盘栓塞（FCDE）。纤维软骨椎间盘栓塞应被视为打桩机/重型机械操作员急性脊髓梗死的病因之一，尤其是伴有邻近椎体梗死和椎间盘脱出时。磁共振成像（MRI）的变化可能会不断发展，因此在适当的情况下应及早进行磁共振成像随访。

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Vertebral body and spinal cord infarction in a pile-driver operator with fibrocartilaginous disc embolism.

We describe the case of a male heavy machinery operator who presented from work with a rapidly evolving spinal cord syndrome. Spinal MRI revealed thoracic vertebral body and cord infarction and evolving mild disc prolapse attributed to fibrocartilaginous disc embolism (FCDE). FCDE should be considered as one of the aetiological mechanisms of acute spinal cord infarction in pile-driver/heavy machinery operators, especially in association with adjacent vertebral body infarction and intervertebral disc prolapse. Magnetic resonance imaging (MRI) changes may evolve, warranting early follow-up MRI in appropriate cases.

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来源期刊

Clinical Medicine 医学-医学：内科

CiteScore

7.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Clinical Medicine is aimed at practising physicians in the UK and overseas and has relevance to all those managing or working within the healthcare sector. Available in print and online, the journal seeks to encourage high standards of medical care by promoting good clinical practice through original research, review and comment. The journal also includes a dedicated continuing medical education (CME) section in each issue. This presents the latest advances in a chosen specialty, with self-assessment questions at the end of each topic enabling CPD accreditation to be acquired. ISSN: 1470-2118 E-ISSN: 1473-4893 Frequency: 6 issues per year