%0 Journal Article %A Sai Adithya Nagaratnam %A Raymond Lam Kwong Lee %A Jonathan Sturm %T Fibrocartilaginous embolism: an under-recognised cause of young spinal stroke %D 2022 %R 10.1136/practneurol-2021-003322 %J Practical Neurology %P 324-327 %V 22 %N 4 %X Fibrocartilaginous embolism is a rarely reported cause of spinal cord infarction. Seemingly innocuous activities may be associated with nucleus pulposus material embolising to the spinal cord vasculature. We describe a 36-year-old woman presenting with bilateral arm paraesthesia and chest pain that evolved into an acute cord syndrome. Initial MR scan of spine showed central spinal cord T2-weighted hyperintensity over several vertebral levels, suggesting transverse myelitis. Repeat MR scan after her symptoms persisted showed an acute cord infarction from a presumed fibrocartilaginous embolus. Clinicians should consider fibrocartilaginous embolism in patients presenting with an acute cord syndrome with supportive radiological findings.Data sharing not applicable as no datasets generated and/or analysed for this study. %U https://pn.bmj.com/content/practneurol/22/4/324.full.pdf