Subacute post-traumatic ascending myelopathy (Spam) in a spinal cord injured patient-a rare presentation: A case report

Kassim, Nur Karyatee and Hanafi, Mohd H. and Ibrahim, Ahmad H. and Hasnan, Nazirah (2021) Subacute post-traumatic ascending myelopathy (Spam) in a spinal cord injured patient-a rare presentation: A case report. Malaysian Orthopaedic Journal, 15 (1). pp. 135-137. ISSN 1985-2533, DOI https://doi.org/10.5704/MOJ.2103.022.

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Abstract

The optimisation of blood pressure management is critical in managing hypotensive episodes in patients with spinal cord injury. Improper handling of this preventable factor will negatively impact the patient recovery prognosis. A 42-year-old man was admitted for a complete spinal cord injury after fell from height. He developed subacute neurological deterioration unrelated to the mechanical instability but due to multiple episodes of hypotension occurring one month after the initial injury. After proper management of blood pressure, his deterioration was halted and no further progression. Spinal cord haemodynamics play an important role in mediating the onset of subacute post-traumatic ascending myelopathy. Better education and awareness on Subacute Post-traumatic Ascending Myelopathy (SPAM) especially to the junior healthcare providers are important to hinder this rare but avoidable condition. © 2021, Malaysian Orthopaedic Association. All rights reserved.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Myelopathy;Hypotension;Spinal cord injury
Subjects: R Medicine
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 19 Oct 2022 01:41
Last Modified: 19 Oct 2022 01:41
URI: http://eprints.um.edu.my/id/eprint/35902

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