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Spinal cord ischaemia due to fibrocartilaginous embolism…?
  1. Tom den Heijer
  1. Neurology, Franciscus Gasthuis & Vlietland, Rotterdam, The Netherlands
  1. Correspondence to Dr Tom den Heijer, Neurology, Franciscus Gasthuis & Vlietland, Rotterdam, The Netherlands; t.denheijer{at}franciscus.nl

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Eighteen months ago, I suffered from acute spinal cord ischaemia. I was at home and suddenly felt a non-painful tingling in both legs when I leaned forward from a chair. I could still walk. As I was supposed to give a presentation, I cycled to the hospital but when there I walked a bit clumsily. I realised that I should not give the presentation and therefore called a colleague, and was brought to his room in a wheelchair. My walking was very broad-based. My colleague examined me and found increased reflexes in my legs, no Babinski sign, allodynia on several areas in my legs, but no sensory level. He arranged an MR scan of the spinal cord, which was normal except for a full bladder that I had not noticed. Cerebrospinal fluid was normal. In the hours following, my walking worsened with a nadir at around 12 hours. I could not stand without help. My colleagues started me on acyclovir and prednisolone. The next day when …

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Footnotes

  • Contributors TdH is the sole author.

  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned. Externally peer reviewed by Tom Hughes, Cardiff, UK.

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    Phil E M Smith Geraint N Fuller

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