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Holocord myelopathy with thoracic stenosis: case report and hypothesis
1Department of Neurosurgery, Seoul National University College of Medicine, Seoul, South Korea.
Study Design:
Case report
Objective:
To examine the resolution of holocord myelopathy based on the hypothesis of altered cerebrospinal fluid (CSF) dynamics.
Setting:
Seoul National University Hospital, Seoul, Korea.
Method:
We describe a case of thoracic stenosis with holocord myelopathy, which suggests an alternative mechanism for the myelopathy.
Result:
Decompression of the thoracic stenosis resulted in the resolution of holocord myelopathy.
Conclusion:
Myelopathy may be caused by altered CSF dynamics and this type of myelopathy seems to be interstitial edema. Improvement of altered CSF flow dynamics could resolve this type of myelopathy.
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