Conus Medullaris Infarction in a Patient With Familial Mediterranean Fever: A Case Report.

ABSTRACT:

Background

Spontaneous spinal cord infarctions are rare, especially in the conus medullaris (CM). They are a particularly uncommon presentation in patients with familial Mediterranean fever (FMF).

Case description

Our patient is a 50-year-old man with FMF, controlled with colchicine for 20 years, who presented to the emergency department when he developed the inability to ambulate without assistance. He also had bowel and bladder incontinence after experiencing burning in his thighs, scrotum, and penis that radiated down his legs. A magnetic resonance imaging scan with and without gadolinium showed T2 hyperintensity changes in the CM and L2 vertebral body, with enhancement of the CM and cauda equina. The patient received high-dose steroids while hospitalized without clinical

SUBMITTER: Robinow Z 

PROVIDER: S-EPMC8817926 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature