Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature
White cord syndrome (WCS), also referred to as reperfusion injury of the spinal cord, is a rare condition involving sudden neurological deterioration following cervical spinal decompression. The syndrome is diagnosed in the absence of an iatrogenic cord injury or perioperative complications. Both lo...
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Elsevier
2025-07-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325002754 |
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| author | Serena Sheen Volney Sheen |
| author_facet | Serena Sheen Volney Sheen |
| author_sort | Serena Sheen |
| collection | DOAJ |
| description | White cord syndrome (WCS), also referred to as reperfusion injury of the spinal cord, is a rare condition involving sudden neurological deterioration following cervical spinal decompression. The syndrome is diagnosed in the absence of an iatrogenic cord injury or perioperative complications. Both loss of neurophysiological signaling during intraoperative monitoring and the appearance of hyper-intensity on T2-weighted magnetic resonance imaging are hallmarks of WCS. We present a report of a female patient who presented with the condition and followed her imaging studies longitudinally. Imaging studies showed prolonged and persistent contrast enhancement over a year and a half postsurgery. Such findings have not previously been reported with WCS. We provide a brief review of the literature, highlighting the main radiologic findings. |
| format | Article |
| id | doaj-art-e517cac6ff3343d1bb34d8f6b2c0d902 |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e517cac6ff3343d1bb34d8f6b2c0d9022025-08-20T01:50:00ZengElsevierRadiology Case Reports1930-04332025-07-012073231323510.1016/j.radcr.2025.03.062Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literatureSerena Sheen0Volney Sheen1Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02115, USACorresponding author.; Department of Neurology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02115, USAWhite cord syndrome (WCS), also referred to as reperfusion injury of the spinal cord, is a rare condition involving sudden neurological deterioration following cervical spinal decompression. The syndrome is diagnosed in the absence of an iatrogenic cord injury or perioperative complications. Both loss of neurophysiological signaling during intraoperative monitoring and the appearance of hyper-intensity on T2-weighted magnetic resonance imaging are hallmarks of WCS. We present a report of a female patient who presented with the condition and followed her imaging studies longitudinally. Imaging studies showed prolonged and persistent contrast enhancement over a year and a half postsurgery. Such findings have not previously been reported with WCS. We provide a brief review of the literature, highlighting the main radiologic findings.http://www.sciencedirect.com/science/article/pii/S1930043325002754Case reportCervical myelopathyDelayedWhite cord syndrome |
| spellingShingle | Serena Sheen Volney Sheen Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature Radiology Case Reports Case report Cervical myelopathy Delayed White cord syndrome |
| title | Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature |
| title_full | Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature |
| title_fullStr | Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature |
| title_full_unstemmed | Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature |
| title_short | Radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy: A case report and review of the literature |
| title_sort | radiographic changes in delayed white cord syndrome from postsurgical cervical myelopathy a case report and review of the literature |
| topic | Case report Cervical myelopathy Delayed White cord syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325002754 |
| work_keys_str_mv | AT serenasheen radiographicchangesindelayedwhitecordsyndromefrompostsurgicalcervicalmyelopathyacasereportandreviewoftheliterature AT volneysheen radiographicchangesindelayedwhitecordsyndromefrompostsurgicalcervicalmyelopathyacasereportandreviewoftheliterature |