<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2022000500983</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Presentación de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spinal cord reperfusion injury secondary to intradural cervical hernia surgery. A case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta González]]></surname>
<given-names><![CDATA[Luis Cesar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Horta Tamayo]]></surname>
<given-names><![CDATA[Ernesto Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Raez]]></surname>
<given-names><![CDATA[Diana Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suarez Cruz]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Lucía Íñiguez Landín  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Universitario Máximo Gómez Báez de Holguín  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>5</numero>
<fpage>983</fpage>
<lpage>989</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2022000500983&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2022000500983&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2022000500983&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La hernia discal intradural es una condición rara. Los déficits neurológicos posquirúrgicos son complicaciones muy poco frecuentes. La aparición de hiperintensidad medular en la imagen de resonancia magnética posoperatoria, en un paciente con una cirugía sin complicaciones sugiere el diagnóstico de White Cord Syndrome o lesión por reperfusión de la médula espinal. En este artículo se describen las características de una paciente que desarrolló defecto neurológico severo posoperatorio. Con cirugía cervical previa, presentó hernia discal extruida C6-C7 que comprimía el cordón medular. Se realizó disectomía, y se presentó entonces déficit neurológico posoperatorio; otros hallazgos clínicos e imagenológicos llevaron a la reintervención quirúrgica. Al cabo de dos meses presentaba Nurick 5. El White Cord Syndrome resulta una complicación poco frecuente; tanto así que este caso es el primero reportado en Cuba. Su presentación luego de cirugía para un disco intradural no ha sido referida. Se diagnostica por la exclusión de complicaciones transoperatorias, y por hiperintensidad del cordón medular en T2. La fisiopatología está mediada por radicales libres. El manejo se centra en una adecuada descompresión, uso de esteroides y rehabilitación. La identificación precoz de este síndrome es crucial para evitar complicaciones fatales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Médula cervical]]></kwd>
<kwd lng="es"><![CDATA[descompresión quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[daño por reperfusión]]></kwd>
<kwd lng="en"><![CDATA[Cervical cord]]></kwd>
<kwd lng="en"><![CDATA[decompression, surgical]]></kwd>
<kwd lng="en"><![CDATA[reperfusion injury]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gunasekaran]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical Presentation, Diagnosis, and Surgical Treatment of Spontaneous Cervical Intradural Disc Herniations A Review of the Literature]]></article-title>
<collab>de Los Reyes NKM.Walters J.Kazemi N</collab>
<source><![CDATA[World Neurosurg]]></source>
<year>2018</year>
<volume>109</volume>
<page-range>275-84</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guan]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Xing]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Long]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Xiang]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cervical intradural disc herniation A systematic review]]></article-title>
<source><![CDATA[J Clin Neurosci]]></source>
<year>2018</year>
<volume>48</volume>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Thirumala]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Natarajan]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Balzer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Dixon]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Okonkwo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Perioperative neurologic complications during spinal fusion surgery incidence and trends]]></article-title>
<source><![CDATA[Spine J]]></source>
<year>2017</year>
<volume>17</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1611-24</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liao]]></surname>
<given-names><![CDATA[YX]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[He]]></surname>
<given-names><![CDATA[ZM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[White cord syndrome", a rare but disastrous complication of transient paralysis after posterior cervical decompression for severe cervical spondylotic myelopathy and spinal stenosis A case report]]></article-title>
<source><![CDATA[Exp Ther Med]]></source>
<year>2020</year>
<volume>20</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>90</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giammalva]]></surname>
<given-names><![CDATA[GR]]></given-names>
</name>
<name>
<surname><![CDATA[Maugeri]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Graziano]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Gulì]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Giugno]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Basile]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[White cord syndrome after non-contiguous double-level anterior cervical decompression and fusion (ACDF) A "no reflow phenomenon"? Interdiscip]]></article-title>
<source><![CDATA[Neurosurg]]></source>
<year>2017</year>
<volume>7</volume>
<page-range>47-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Xia]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Ji]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ning]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transient Paralysis Shortly after Anterior Cervical Corpectomy and Fusion Paralysis after ACCF]]></article-title>
<source><![CDATA[Orthop Surg]]></source>
<year>2013</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>23-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Epstein]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reperfusion Injury (RPI)/White Cord Syndrome (WCS) Due to Cervical Spine Surgery A Diagnosis of Exclusion]]></article-title>
<source><![CDATA[Surg Neurol Int]]></source>
<year>2020</year>
<volume>11</volume>
<page-range>320</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Papaioannou]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Repantis]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Baikousis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Korovessis]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Late-onset "white cord syndrome" in an elderly patient after posterior cervical decompression and fusion a case report]]></article-title>
<source><![CDATA[Spinal Cord Ser Cases]]></source>
<year>2019</year>
<volume>5</volume>
<page-range>28</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fan]]></surname>
<given-names><![CDATA[YD]]></given-names>
</name>
<name>
<surname><![CDATA[Zhu]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Geng]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Du]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[ZL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The study on pathological mechanism and solution method for spinal cord ischemia reperfusion injury]]></article-title>
<source><![CDATA[Eur Rev Med Pharmacol Sci]]></source>
<year>2018</year>
<volume>22</volume>
<numero>13</numero>
<issue>13</issue>
<page-range>4063-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vidal]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Karadimas]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[Ulndreaj]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Laliberte]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Tetreault]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Forner]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delayed decompression exacerbates ischemia-reperfusion injury in cervical compressive myelopathy]]></article-title>
<source><![CDATA[JCI Insight]]></source>
<year>2017</year>
<volume>2</volume>
<numero>11</numero>
<issue>11</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sepulveda]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Carballo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Carnevale]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yañez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[White cord syndrome in a pediatric patient A case report and review]]></article-title>
<source><![CDATA[Radiol Case Rep]]></source>
<year>2020</year>
<volume>15</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>2343-7</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eryilmaz]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Farooque]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Efficacy of Combined Medication With Methylprednisolone and Erythropoietin in the Treatment of Ischemia-Reperfusion Injury to the Spinal Cord in Patients With Cervical Spondylotic Myelopathy]]></article-title>
<source><![CDATA[Cureus]]></source>
<year>2021</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Busack]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Eagleton]]></surname>
<given-names><![CDATA[BE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[White Cord Syndrome Causing Transient Tetraplegia After Posterior Decompression and Fusion]]></article-title>
<source><![CDATA[Ochsner J]]></source>
<year>2020</year>
<volume>20</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>334-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chin]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
<name>
<surname><![CDATA[Seale]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Case Rep]]></article-title>
<collab>Cumming V "White cord syndrome" of acute tetraplegia after anterior cervical decompression and fusion for chronic spinal cord compression: a case report</collab>
<source><![CDATA[Orthop]]></source>
<year>2013</year>
<volume>2013</volume>
<page-range>697918</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jun]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Baik]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A case report white cord syndrome following anterior cervical discectomy and fusion: importance of prompt diagnosis and treatment]]></article-title>
<source><![CDATA[BMC Musculoskelet Disord]]></source>
<year>2020</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>157</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
