PT  - JOURNAL ARTICLE
AU  - Sai Adithya Nagaratnam
AU  - Raymond Lam Kwong Lee
AU  - Jonathan Sturm
TI  - Fibrocartilaginous embolism: an under-recognised cause of young spinal stroke
AID  - 10.1136/practneurol-2021-003322
DP  - 2022 Aug 01
TA  - Practical Neurology
PG  - 324--327
VI  - 22
IP  - 4
4099  - http://pn.bmj.com/content/22/4/324.short
4100  - http://pn.bmj.com/content/22/4/324.full
SO  - Pract Neurol2022 Aug 01; 22
AB  - 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.