Sheen Serena, Sheen Volney
Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02115, USA.
Radiol Case Rep. 2025 Apr 12;20(7):3231-3235. doi: 10.1016/j.radcr.2025.03.062. eCollection 2025 Jul.
White cord syndrome (WCS), also referred to as reperfusion injury of the spinal cord, is a rare condition involving sudden neurological deterioration following cervical spinal decompression. The syndrome is diagnosed in the absence of an iatrogenic cord injury or perioperative complications. Both loss of neurophysiological signaling during intraoperative monitoring and the appearance of hyper-intensity on T2-weighted magnetic resonance imaging are hallmarks of WCS. We present a report of a female patient who presented with the condition and followed her imaging studies longitudinally. Imaging studies showed prolonged and persistent contrast enhancement over a year and a half postsurgery. Such findings have not previously been reported with WCS. We provide a brief review of the literature, highlighting the main radiologic findings.
白脊髓综合征（WCS），也被称为脊髓再灌注损伤，是一种罕见的病症，涉及颈椎减压术后突然出现的神经功能恶化。该综合征在不存在医源性脊髓损伤或围手术期并发症的情况下被诊断出来。术中监测期间神经生理信号的丧失以及T2加权磁共振成像上高强度信号的出现都是WCS的特征。我们报告了一名患有该病症的女性患者，并对其影像学研究进行了纵向跟踪。影像学研究显示，术后一年半以上出现了持续且持久的对比增强。此前尚未有WCS出现此类发现的报道。我们对文献进行了简要综述，突出了主要的放射学发现。
