[Spinal fibrocartilaginous embolism]

Nervenarzt. 2005 Oct;76(10):1246-9. doi: 10.1007/s00115-005-1878-9.
[Article in German]


Fibrocartilaginous embolism (FCE) of the spinal cord is a rare cause of ischemic myelopathy. We describe a 13-year-old patient with probable post-traumatic FCE. History of disease, clinical presentation, diagnostic workup, and disease course are outlined. Diagnosing FCE in the living often seems to be merely conjectural. Therefore, vertebral edema adjacent to the level of the spinal lesion is a possibly valuable diagnostic hint of spinal ischemia. Furthermore, exclusion of systemic embolism and other etiologies of myelopathy is necessary to corroborate the diagnosis of FCE. The postulated pathomechanism, diagnostic procedures, therapy, and prognosis of FCE are discussed in this article.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Embolism / diagnosis*
  • Embolism / etiology*
  • Humans
  • Male
  • Spinal Cord Diseases / diagnosis*
  • Spinal Cord Diseases / etiology*
  • Spinal Cord Injuries / complications
  • Spinal Cord Injuries / diagnosis
  • Spinal Cord Ischemia / diagnosis*
  • Spinal Cord Ischemia / etiology*