Department of Neurosurgery, San Bortolo Hospital, Vicenza, Italy
Case Report
Acute Non Traumatic Cervical Mielopathy in an Adult Patient: A Challenging Diagnosis
Author(s): Nuzzi Daniele*, Alvaro Lorenzo, Zambon Giampaolo, Varotto Alessia and Bissoli Angela
Introduction: Acute cervical myelopathy is a challenging diagnosis. Spinal cord infarction is generally
caused by aortic pathologies. In absence of a definite diagnosis, fibrocartilagineous embolism can be a
cause of spinal cord ischemia.
Case presentation: Authors here presented a case report of a 42 years old female patient, suffering
acute myelopathy in a stenotic cervical canal by anterior osteophytes.
She was admitted to our emergency department with chest pain and tetraparesis, manifesting with
two acute episodes within 24 hours of each other, the second worse than the first. Traumatic,
inflammatory, ischemic, infectious and compressive causes were excluded. Both neuroprotection
therapies (administration of glucocorticoids, maintenance of mean arterial pressure) and surgical
decompression of stenotic cervical.. View More»
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