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Yıl 2022, Cilt: 39 Sayı: 3, 910 - 912, 30.08.2022

Öz

Kaynakça

  • 1. Weidauer S, Nichtweiß M, Hattingen E, Berkefeld J. Spinal cord ischemia: aetiology, clinical syndromes and imaging features. Neuroradiology 2015; 57(3): 241-257.
  • 2. Takagi H, Ota H, Natsuaki Y, Komori Y, Ito K, Saiki Y, et al. Identifying the Adamkiewicz artery using 3-T time-resolved magnetic resonance angiography: its role in addition to multidetector computed tomography angiography. Jpn J Radiol 2015; 33: 749–756.
  • 3. Nedeltchev K, Loher TJ, Stepper F, Arnold M, Schroth G, Mattle HP, et al. Long-term outcome of acute spinal cord ischemia syndrome. Stroke 2004; 35(2): 560-565.
  • 4. Khan IA. Clinical manifestations of aortic dissection. J Clin Basic Cardiol 2001; 4: 265.
  • 5. Prakash, B, Pai RK., Chaitra V, Ramasamy P, Shuba N. A Case of Acute Paraplegia Due to Aortic Dissection in Marfan Syndrome. Journal of Neurosciences in Rural Practice 2017; 8(2): 316-319.
  • 6. Pyeritz RE. Marfan syndrome: 30 years of research equals 30 years of additional life expectancy. Heart 2009; 95: 173–175.
  • 7. Alblas CL, Bouvy WH, Lycklama À Nijeholt GJ, Boiten J. Acute spinal-cord ischemia: evolution of MRI findings. J Clin Neurol 2012; 8: 218-223.
  • 8. Novy J, Carruzzo A, Maeder P, Bogousslavsky J. Spinal cord ischemia. Clinical and imaging patterns, pathogenesis and outcomes in 27 patients. Arch Neurol 2006; 63: 1113–1120.
  • 9. Mull M. Acute spinal cord ischemia: diagnosis without therapeutic options? Clin Neuroradiol 2005; 15: 79–88.
  • 10. Loeys BL. Revised Ghent criteria for the diagnosis of Marfan syndrome (MFS) and related conditions. J Med Genet 2010; 47: 476-485.
  • 11. Elmacı T. Kardiovasküler cerrahi girişimlerde spinal iskemi. Journal of Istanbul Faculty of Medicine 2011; 63(4).
  • 12. Robertson CE, Brown RD Jr, Wijdicks EF, Rabinstein AA. Recovery after spinal cord infarcts: long term outcome in 115 patients. Neurology 2012; 78:114.
  • 13. Ge L, Arul K, Stoner M, Mesfin A. Etiology and Outcomes of Spinal Cord Infarct: A Case Series From a Level 1 Trauma Center. Global Spine J 2020; 10(6): 735-740.

Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature

Yıl 2022, Cilt: 39 Sayı: 3, 910 - 912, 30.08.2022

Öz

Acute Spinal Cord Ischemia Syndrome (ASCIS) is rare but it is clinically very significant. Aortic dissection (AD) is one of the reasons of ischemia of the spinal cord. The artery of Adamkiewicz provides the major blood supply to the anterior thoracolumbar spinal cord, and injury to this artery can cause consequential neurologic damage.
Three male patients applied to our rehabilitation clinic with paraplegia. All three had AD due to Marfan Syndrome and all had clinical findings due to Adamkiewitz artery ischemia. Although it was later learned that one of the patients later died from a new ruptured aortic aneurysm, we achieved good motor gains in these rare cases with rehabilitation.
Although paraplegia is rare as the initial symptom in AD, vascular etiology shouldn’t be forgotton in acute paraplegia. The prognosis of ASCIS is known to be poor, but a good and individualized rehabilitation program is required.

Kaynakça

  • 1. Weidauer S, Nichtweiß M, Hattingen E, Berkefeld J. Spinal cord ischemia: aetiology, clinical syndromes and imaging features. Neuroradiology 2015; 57(3): 241-257.
  • 2. Takagi H, Ota H, Natsuaki Y, Komori Y, Ito K, Saiki Y, et al. Identifying the Adamkiewicz artery using 3-T time-resolved magnetic resonance angiography: its role in addition to multidetector computed tomography angiography. Jpn J Radiol 2015; 33: 749–756.
  • 3. Nedeltchev K, Loher TJ, Stepper F, Arnold M, Schroth G, Mattle HP, et al. Long-term outcome of acute spinal cord ischemia syndrome. Stroke 2004; 35(2): 560-565.
  • 4. Khan IA. Clinical manifestations of aortic dissection. J Clin Basic Cardiol 2001; 4: 265.
  • 5. Prakash, B, Pai RK., Chaitra V, Ramasamy P, Shuba N. A Case of Acute Paraplegia Due to Aortic Dissection in Marfan Syndrome. Journal of Neurosciences in Rural Practice 2017; 8(2): 316-319.
  • 6. Pyeritz RE. Marfan syndrome: 30 years of research equals 30 years of additional life expectancy. Heart 2009; 95: 173–175.
  • 7. Alblas CL, Bouvy WH, Lycklama À Nijeholt GJ, Boiten J. Acute spinal-cord ischemia: evolution of MRI findings. J Clin Neurol 2012; 8: 218-223.
  • 8. Novy J, Carruzzo A, Maeder P, Bogousslavsky J. Spinal cord ischemia. Clinical and imaging patterns, pathogenesis and outcomes in 27 patients. Arch Neurol 2006; 63: 1113–1120.
  • 9. Mull M. Acute spinal cord ischemia: diagnosis without therapeutic options? Clin Neuroradiol 2005; 15: 79–88.
  • 10. Loeys BL. Revised Ghent criteria for the diagnosis of Marfan syndrome (MFS) and related conditions. J Med Genet 2010; 47: 476-485.
  • 11. Elmacı T. Kardiovasküler cerrahi girişimlerde spinal iskemi. Journal of Istanbul Faculty of Medicine 2011; 63(4).
  • 12. Robertson CE, Brown RD Jr, Wijdicks EF, Rabinstein AA. Recovery after spinal cord infarcts: long term outcome in 115 patients. Neurology 2012; 78:114.
  • 13. Ge L, Arul K, Stoner M, Mesfin A. Etiology and Outcomes of Spinal Cord Infarct: A Case Series From a Level 1 Trauma Center. Global Spine J 2020; 10(6): 735-740.
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Case Report
Yazarlar

Zeynep Kıraç Ünal 0000-0002-8139-3971

Gulnur Celik 0000-0001-8397-6815

Sadik Yigit Yildiz 0000-0002-3939-9835

Damla Cankurtaran 0000-0002-6208-3345

Ece Ünlü Akyüz 0000-0003-4718-5981

İlker İnce 0000-0001-5570-2585

Erken Görünüm Tarihi 30 Ağustos 2022
Yayımlanma Tarihi 30 Ağustos 2022
Gönderilme Tarihi 26 Mayıs 2022
Kabul Tarihi 4 Temmuz 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 39 Sayı: 3

Kaynak Göster

APA Kıraç Ünal, Z., Celik, G., Yildiz, S. Y., Cankurtaran, D., vd. (2022). Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature. Journal of Experimental and Clinical Medicine, 39(3), 910-912.
AMA Kıraç Ünal Z, Celik G, Yildiz SY, Cankurtaran D, Ünlü Akyüz E, İnce İ. Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature. J. Exp. Clin. Med. Ağustos 2022;39(3):910-912.
Chicago Kıraç Ünal, Zeynep, Gulnur Celik, Sadik Yigit Yildiz, Damla Cankurtaran, Ece Ünlü Akyüz, ve İlker İnce. “Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature”. Journal of Experimental and Clinical Medicine 39, sy. 3 (Ağustos 2022): 910-12.
EndNote Kıraç Ünal Z, Celik G, Yildiz SY, Cankurtaran D, Ünlü Akyüz E, İnce İ (01 Ağustos 2022) Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature. Journal of Experimental and Clinical Medicine 39 3 910–912.
IEEE Z. Kıraç Ünal, G. Celik, S. Y. Yildiz, D. Cankurtaran, E. Ünlü Akyüz, ve İ. İnce, “Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature”, J. Exp. Clin. Med., c. 39, sy. 3, ss. 910–912, 2022.
ISNAD Kıraç Ünal, Zeynep vd. “Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature”. Journal of Experimental and Clinical Medicine 39/3 (Ağustos 2022), 910-912.
JAMA Kıraç Ünal Z, Celik G, Yildiz SY, Cankurtaran D, Ünlü Akyüz E, İnce İ. Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature. J. Exp. Clin. Med. 2022;39:910–912.
MLA Kıraç Ünal, Zeynep vd. “Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature”. Journal of Experimental and Clinical Medicine, c. 39, sy. 3, 2022, ss. 910-2.
Vancouver Kıraç Ünal Z, Celik G, Yildiz SY, Cankurtaran D, Ünlü Akyüz E, İnce İ. Adamkiewitz Syndrome in Marfan Syndrome and Rehabilitation Outcomes- 3 Cases and Review of the Literature. J. Exp. Clin. Med. 2022;39(3):910-2.