Shah Supriya, Bryant Phillip
Physical Medicine and Rehabilitation Department, University of Pennsylvania, Philadelphia, PA, USA.
Division of Rehabilitation Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Pediatr Rehabil Med. 2018;11(1):53-56. doi: 10.3233/PRM-170502.
A 12 year-old female presented to the emergency department with a right hemiparesis, headache, and neck pain. Initial neural imaging studies were unremarkable. However, a repeat MRI of the cervical spine during her acute hospitalization showed an acute spinal infarct. Neurological workup was consistent with fibrocartilaginous embolism (FCE) as the etiology. After several weeks of intensive inpatient rehabilitation, the patient demonstrated remarkable functional progress. This case report reviews the comprehensive pediatric literature on FCE with focus on the mechanism of injury, role of imaging studies, treatment options and prognosis. Awareness of the typical clinical history, as well as the signs and symptoms characteristic of FCE will improve the identification of this rare cause of abrupt weakness and potentially facilitate functional recovery.
一名12岁女性因右侧偏瘫、头痛和颈部疼痛就诊于急诊科。最初的神经影像学检查未见异常。然而，在她急性住院期间重复进行的颈椎MRI显示有急性脊髓梗死。神经学检查结果与病因是纤维软骨栓塞（FCE）相符。经过几周的强化住院康复治疗，患者功能有显著进展。本病例报告回顾了关于FCE的综合儿科文献，重点关注损伤机制、影像学检查的作用、治疗选择和预后。了解FCE典型的临床病史以及体征和症状，将有助于识别这种导致突然无力的罕见病因，并可能促进功能恢复。
