• Clin Med (Lond) · Jul 2024

    Case Reports

    Vertebral body and spinal cord infarction in a pile-driver operator with fibro-cartilaginous disc embolism.

    • Sjx Murphy, Djh McCabe, R L O Donohoe, and A J McCarthy.
    • Department of Neurology, Tallaght University Hospital/The Adelaide and Meath Hospital, Dublin, incorporating the National Children's Hospital (AMNCH), Dublin, Ireland; Stroke Service, Tallaght University Hospital/The Adelaide and Meath Hospital, Dublin, incorporating the National Children's Hospital (AMNCH), Dublin, Ireland; Department of Neurology, Chelsea and Westminster NHS Trust, London, UK. Electronic address: Stephen.murphy22@nhs.net.
    • Clin Med (Lond). 2024 Jul 1; 24 (4): 100226100226.

    AbstractWe describe the case of a male heavy machinery operator who presented from work with a rapidly evolving spinal cord syndrome. Spinal MRI revealed thoracic vertebral body and cord infarction and evolving mild disc prolapse attributed to fibrocartilaginous disc embolism (FCDE). FCDE should be considered as one of the aetiological mechanisms of acute spinal cord infarction in pile-driver/heavy machinery operators, especially in association with adjacent vertebral body infarction and intervertebral disc prolapse. Magnetic resonance imaging (MRI) changes may evolve, warranting early follow-up MRI in appropriate cases.Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.

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