Neuroradiology case of the day. Spinal cord compression caused by extramedullary hematopoiesis.

1999 ◽  
Vol 173 (3) ◽  
pp. 806-806 ◽  
Author(s):  
D W Rowe ◽  
G Barest
2020 ◽  
Vol 78 (10) ◽  
pp. 663-664
Author(s):  
Renan Ramon Souza LOPES ◽  
Larissa Soares CARDOSO ◽  
Franz ONISHI

1998 ◽  
Vol 116 (6) ◽  
pp. 1879-1881 ◽  
Author(s):  
Silvana Fahel da Fonseca ◽  
Maria Stella Figueiredo ◽  
Rodolfo Delfini Cançado ◽  
Fernando Nakandakare ◽  
Roberto Segreto ◽  
...  

CONTEXT: Spinal cord compression due to extramedullary hematopoiesis is a well-described but rare syndrome encountered in several clinical hematologic disorders, including <FONT FACE="Symbol">b</font>-thalassemia. CASE REPORT: We report the case of a patient with intermediate <FONT FACE="Symbol">b</font>-thalassemia and crural paraparesis due to spinal cord compression by a paravertebral extramedullary mass. She was successfully treated with low-dose radiotherapy and transfusions. After splenectomy, she was regularly followed up for over four years without transfusion or recurrence of spinal cord compression. DISCUSSION: Extramedullary hematopoiesis should be investigated in patients with hematologic disorders and spinal cord symptoms. The rapid recognition and treatment with radiotherapy can dramatically alleviate symptoms.


2008 ◽  
Vol 184 (4) ◽  
pp. 224-226 ◽  
Author(s):  
Martin Goerner ◽  
Sabine Gerull ◽  
Erhard Schaefer ◽  
Marianne Just ◽  
Martin Sure ◽  
...  

Neurosurgery ◽  
1981 ◽  
Vol 8 (6) ◽  
pp. 728-731 ◽  
Author(s):  
John Pile-Spellman ◽  
Lester Adelman ◽  
Kalmon D. Post

abstract A case of compressive myelopathy secondary to extramedullary hematopoiesis is presented. The similarities and differences between this disorder and myelopathy secondary to metastatic disease are discussed. If diagnosed early, this condition should improve with treatment.


2019 ◽  
Vol 4 (5) ◽  

Extramedullary hematopoiesis (EMH) is a rare cause of spinal cord compression (SCC). EMH represents the growth of blood cells outside of the bone marrow and occurs in a variety of hematologic illnesses, including various types of anemia and myeloproliferative disorders. Although EMH usually occurs in the liver, spleen, and lymph nodes, it may also occur within the spinal canal. When this occurs, the mass effect can compress the spinal cord, potentially leading to the development of neurological deficits. We present a case of SCC secondary to EMH. Our patient is a 26-year-old male with beta-thalassemia who presented with both upper thoracic and lower extremity symptoms of spinal cord compression. This report illustrates the importance of considering EMH in the differential diagnosis of SCC, even in the absence of signs of its most common etiologies.


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