Holocord myelopathy with thoracic stenosis: case report and hypothesis.

STUDY

DESIGN

Case report

OBJECTIVE

To examine the resolution of holocord myelopathy based on the hypothesis of altered cerebrospinal fluid (CSF) dynamics.

SETTING

Seoul National University Hospital, Seoul, Korea.

METHOD: We describe a case of thoracic stenosis with holocord myelopathy, which suggests an alternative mechanism for the myelopathy.

RESULT: Decompression of the thoracic stenosis resulted in the resolution of holocord myelopathy.

CONCLUSION

Myelopathy may be caused by altered CSF dynamics and this type of myelopathy seems to be interstitial edema. Improvement of altered CSF flow dynamics could resolve this type of myelopathy.