Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient

<h3>Introduction</h3><p dir="ltr">Spinal cord compression secondary to extramedullary hematopoiesis (EMH) is a rare condition. Variable treatment options have been reported with different efficacy and recurrence rate. Due to its rarity, no clear optimal management guideli...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Shahem Abbarh (17945564) (author)
مؤلفون آخرون: Abdulrahman F. Al-Mashdali (17148316) (author), Mohamed Abdelrazek (6903689) (author), Venkada Manickam Gurusamy (17346805) (author), Mohamed A. Yassin (8361183) (author)
منشور في: 2022
الموضوعات:
الوسوم: إضافة وسم
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author Shahem Abbarh (17945564)
author2 Abdulrahman F. Al-Mashdali (17148316)
Mohamed Abdelrazek (6903689)
Venkada Manickam Gurusamy (17346805)
Mohamed A. Yassin (8361183)
author2_role author
author
author
author
author_facet Shahem Abbarh (17945564)
Abdulrahman F. Al-Mashdali (17148316)
Mohamed Abdelrazek (6903689)
Venkada Manickam Gurusamy (17346805)
Mohamed A. Yassin (8361183)
author_role author
dc.creator.none.fl_str_mv Shahem Abbarh (17945564)
Abdulrahman F. Al-Mashdali (17148316)
Mohamed Abdelrazek (6903689)
Venkada Manickam Gurusamy (17346805)
Mohamed A. Yassin (8361183)
dc.date.none.fl_str_mv 2022-06-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1097/md.0000000000029334
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Recurrent_spinal_cord_compression_due_to_extramedullary_hematopoiesis_in_thalassemia_patient/29045393
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Neurosciences
Oncology and carcinogenesis
betal-thalassemia
extramedullary hematopoiesis
luspatercept
radiotherapy
spinal cord compression
dc.title.none.fl_str_mv Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Introduction</h3><p dir="ltr">Spinal cord compression secondary to extramedullary hematopoiesis (EMH) is a rare condition. Variable treatment options have been reported with different efficacy and recurrence rate. Due to its rarity, no clear optimal management guidelines have been established yet.</p><h3>Patient concerns and diagnosis</h3><p dir="ltr">We report a recurrence of spinal cord compression secondary to EMH in a 19-year-old male, with a background of transfusion-dependent beta-thalassemia on luspatercept, who presented with weakness in both lower limbs.</p><h3>Interventions and outcomes</h3><p dir="ltr">He was treated successfully both times with radiotherapy.</p><h3>Conclusion</h3><p dir="ltr">Early diagnosis and management of EMH compressing the spinal cord are essential to prevent permanent neurological damage. Diagnosis should be suspected based on the clinical presentation and magnetic resonance imaging findings in a patient with a history of ineffective hemopoiesis. Treatment option remains controversial. Radiotherapy option seems effective, even in recurrent cases, and valid, particularly for those at high risk of surgery or who do not prefer it.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000029334" target="_blank">https://dx.doi.org/10.1097/md.0000000000029334</a></p>
eu_rights_str_mv openAccess
id Manara2_daed54108b97fa2755bd122202f731ee
identifier_str_mv 10.1097/md.0000000000029334
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29045393
publishDate 2022
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rights_invalid_str_mv CC BY 4.0
spelling Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patientShahem Abbarh (17945564)Abdulrahman F. Al-Mashdali (17148316)Mohamed Abdelrazek (6903689)Venkada Manickam Gurusamy (17346805)Mohamed A. Yassin (8361183)Biomedical and clinical sciencesClinical sciencesNeurosciencesOncology and carcinogenesisbetal-thalassemiaextramedullary hematopoiesisluspaterceptradiotherapyspinal cord compression<h3>Introduction</h3><p dir="ltr">Spinal cord compression secondary to extramedullary hematopoiesis (EMH) is a rare condition. Variable treatment options have been reported with different efficacy and recurrence rate. Due to its rarity, no clear optimal management guidelines have been established yet.</p><h3>Patient concerns and diagnosis</h3><p dir="ltr">We report a recurrence of spinal cord compression secondary to EMH in a 19-year-old male, with a background of transfusion-dependent beta-thalassemia on luspatercept, who presented with weakness in both lower limbs.</p><h3>Interventions and outcomes</h3><p dir="ltr">He was treated successfully both times with radiotherapy.</p><h3>Conclusion</h3><p dir="ltr">Early diagnosis and management of EMH compressing the spinal cord are essential to prevent permanent neurological damage. Diagnosis should be suspected based on the clinical presentation and magnetic resonance imaging findings in a patient with a history of ineffective hemopoiesis. Treatment option remains controversial. Radiotherapy option seems effective, even in recurrent cases, and valid, particularly for those at high risk of surgery or who do not prefer it.</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000029334" target="_blank">https://dx.doi.org/10.1097/md.0000000000029334</a></p>2022-06-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000029334https://figshare.com/articles/journal_contribution/Recurrent_spinal_cord_compression_due_to_extramedullary_hematopoiesis_in_thalassemia_patient/29045393CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290453932022-06-01T00:00:00Z
spellingShingle Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
Shahem Abbarh (17945564)
Biomedical and clinical sciences
Clinical sciences
Neurosciences
Oncology and carcinogenesis
betal-thalassemia
extramedullary hematopoiesis
luspatercept
radiotherapy
spinal cord compression
status_str publishedVersion
title Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
title_full Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
title_fullStr Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
title_full_unstemmed Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
title_short Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
title_sort Recurrent spinal cord compression due to extramedullary hematopoiesis in thalassemia patient
topic Biomedical and clinical sciences
Clinical sciences
Neurosciences
Oncology and carcinogenesis
betal-thalassemia
extramedullary hematopoiesis
luspatercept
radiotherapy
spinal cord compression