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Myelopathy due to Spinal Extramedullary Hematopoiesis in a Patient with Polycythemia Vera
Shuhei Ito1, Nobuyuki Fujita1, Naobumi Hosogane2
1Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Abstract:
Extramedullary hematopoiesis (EMH) occasionally occurs in patients exhibiting hematological disorders with decreased hematopoietic efficacy. EMH is rarely observed in the spinal epidural space and patients are usually asymptomatic. In particular, in the patients with polycythemia vera, spinal cord compression due to EMH is extremely rare. We report a case of polycythemia vera, in which operative therapy proved to be an effective treatment for myelopathy caused by spinal EMH.
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