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Management of spinal cord compression caused by extramedullary hematopoiesis in beta-thalassemia

Berhouma Moncef1, Jemel Hafedh

  • 1Department of Neurosurgery B, Pierre Wertheimer Neurological and Neurosurgical Hospital of Lyon, Lyon, France. berhouma.moncef@yahoo.fr

Internal Medicine (Tokyo, Japan)
|June 17, 2008
PubMed

Thalassemia is a chronic hemolytic anemia, endemic around the Mediterranean basin. Extramedullary hematopoiesis (EMH) is a normal compensatory reaction that can involve many organs or tissues, including the epidural space, leading to a spinal cord compression syndrome. In almost all cases, the clinical and MR patterns are those of a lower dorsal spinal cord progressive compression secondary to an epidural expanding process. The management still remains controversial, including mainly blood transfusions, decompressive surgery and radiotherapy. We present a case of EMH in a thalassemic adolescent boy presenting with a T12 level of compression, treated successfully with blood transfusion, surgical decompression and radiotherapy.

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