Abstract

ACOSTA GONZALEZ, Luis Cesar; HORTA TAMAYO, Ernesto Enrique; ORTEGA RAEZ, Diana Rosa  and  SUAREZ CRUZ, Martha. Spinal cord reperfusion injury secondary to intradural cervical hernia surgery. A case report. Medisur [online]. 2022, vol.20, n.5, pp. 983-989.  Epub Oct 30, 2022. ISSN 1727-897X.

Intradural disc herniation is a rare condition. Post-surgical neurological deficits are very rare complications. The appearance of spinal cord hyperintensity on postoperative magnetic resonance imaging in a patient with uncomplicated surgery suggests a diagnosis of White Cord Syndrome or spinal cord reperfusion injury. This article describes the characteristics of a patient who developed a severe postoperative neurological defect. With previous cervical surgery, presented extruded C6-C7 disc herniation that compressed the spinal cord. Discectomy was performed, and postoperative neurological deficit was then presented; Other clinical and imaging findings led to surgical reintervention. Two months later, she presented Nurick 5. White Cord Syndrome is a rare complication; so much so that this case is the first reported in Cuba. The presentation after surgery for an intradural disc has not been reported. It is diagnosed by the exclusion of intraoperative complications, and by hyperintensity of the spinal cord in T2. The pathophysiology is mediated by free radicals. Management focuses on adequate decompression, steroid use, and rehabilitation. Early identification of this syndrome is crucial to avoid fatal complications.

Keywords : Cervical cord; decompression, surgical; reperfusion injury.

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