Pathological features including apoptosis in subacute posttraumatic ascending myelopathy

Case report and review of the literature

Mubarak Al-Ghatany M.D., F.R.C.S.(C)1, Mubarak Al-Shraim M.D.1, Allan D. O. Levi M.D., Ph.D.1, and Rajiv Midha M.D., M.Sc., F.R.C.S.(C)1
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  • 1 Department of Surgery, Division of Neurosurgery, Toronto Western Hospital and University of Toronto; Department of Pathology, Sunnybrook and Women's College Health Sciences Center, and University of Toronto, Ontario; Department of Clinical Neurosciences, Division of Neurosurgery, Foothills Medical Center, University of Calgary, Calgary, Alberta, Canada; and Department of Neurosurgery, University of Miami, The Miami Project to Cure Paralysis, Miami, Florida
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✓ Subacute posttraumatic ascending myelopathy (SPAM) is a rare disorder that may gradually emerge in the first 1 to 3 weeks after a spinal cord injury and is unrelated to syrinx formation or mechanical instability. In addition to several theories that have been put forth to explain the origin of this syndrome, the authors propose a possible role for apoptosis in the causation and the progression of SPAM. They discuss the various theories that have been proposed thus far, to place the role of apoptosis in perspective and use their case as an illustration.

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  • 1.

    Aito S, , El Masry WS, , Gerner HJ, , Lorenzo ND, , Pellicano G, & D'Andrea M, et al: Ascending myelopathy in the early stage of spinal cord injury. Spinal Cord 37:617623, 1999 Aito S, El Masry WS, Gerner HJ, Lorenzo ND, Pellicano G, D'Andrea M, et al: Ascending myelopathy in the early stage of spinal cord injury. Spinal Cord 37:617–623, 1999

    • Search Google Scholar
    • Export Citation
  • 2.

    Bates SE, , Raphaelson MI, , Price RA, , McKeevar P, , Cohen S, & Poplack DG: Ascending myelopathy after chemotherapy for central nervous system acute lymphoblastic leukemia: correlation with cerebrospinal fluid myelin basic protein. Med Pediatr Oncol 13:48, 1985 Bates SE, Raphaelson MI, Price RA, McKeevar P, Cohen S, Poplack DG: Ascending myelopathy after chemotherapy for central nervous system acute lymphoblastic leukemia: correlation with cerebrospinal fluid myelin basic protein. Med Pediatr Oncol 13:4–8, 1985

    • Search Google Scholar
    • Export Citation
  • 3.

    Beattie MS, , Farooqui AA, & Bresnahan JC: Review of current evidence for apoptosis after spinal cord injury. J Neurotrauma 17:915925, 2000 Beattie MS, Farooqui AA, Bresnahan JC: Review of current evidence for apoptosis after spinal cord injury. J Neurotrauma 17:915–925, 2000

    • Search Google Scholar
    • Export Citation
  • 4.

    Beattie MS, , Hermann GE, , Rogers RC, & Bresnahan JC: Cell death in models of spinal cord injury. Prog Brain Res 137:3747, 2002 Beattie MS, Hermann GE, Rogers RC, Bresnahan JC: Cell death in models of spinal cord injury. Prog Brain Res 137:37–47, 2002

    • Search Google Scholar
    • Export Citation
  • 5.

    Belanger E, , Picard C, , Lacerte D, , Lavallee P, & Levi AD: Subacute posttraumatic ascending myelopathy after spinal cord injury. Report of three cases. J Neurosurg (Spine 2) 93:294299, 2000 Belanger E, Picard C, Lacerte D, Lavallee P, Levi AD: Subacute posttraumatic ascending myelopathy after spinal cord injury. Report of three cases. J Neurosurg (Spine 2) 93:294–299, 2000

    • Search Google Scholar
    • Export Citation
  • 6.

    Colterjohn NR, & Bednar DA: Identifiable risk factors for secondary neurologic deterioration in the cervical spine-injured patient. Spine 20:22932297, 1995 Colterjohn NR, Bednar DA: Identifiable risk factors for secondary neurologic deterioration in the cervical spine-injured patient. Spine 20:2293–2297, 1995

    • Search Google Scholar
    • Export Citation
  • 7.

    Crowe MJ, , Bresnahan JC, , Shuman SL, , Masters JN, & Beattie MS: Apoptosis and delayed degeneration after spinal cord injury in rats and monkeys. Nat Med 3:7376, 1997 Crowe MJ, Bresnahan JC, Shuman SL, Masters JN, Beattie MS: Apoptosis and delayed degeneration after spinal cord injury in rats and monkeys. Nat Med 3:73–76, 1997

    • Search Google Scholar
    • Export Citation
  • 8.

    Emery E, , Aldana P, , Bunge MB, , Puckett W, , Srinivasan A, & Keane RW, et al: Apoptosis after traumatic human spinal cord injury. J Neurosurg 89:911920, 1998 Emery E, Aldana P, Bunge MB, Puckett W, Srinivasan A, Keane RW, et al: Apoptosis after traumatic human spinal cord injury. J Neurosurg 89:911–920, 1998

    • Search Google Scholar
    • Export Citation
  • 9.

    Farmer J, , Vaccaro A, , Albert TJ, , Malone S, , Balderston RA, & Colter JM: Neurologic deterioration after cervical spinal cord injury. J Spinal Disord 11:192196, 1998 Farmer J, Vaccaro A, Albert TJ, Malone S, Balderston RA, Colter JM: Neurologic deterioration after cervical spinal cord injury. J Spinal Disord 11:192–196, 1998

    • Search Google Scholar
    • Export Citation
  • 10.

    Frankel HL: Ascending cord lesion in the early stages following spinal injury. Paraplegia 7:111118, 1969 Frankel HL: Ascending cord lesion in the early stages following spinal injury. Paraplegia 7:111–118, 1969

    • Search Google Scholar
    • Export Citation
  • 11.

    Hains BC, , Black JA, & Waxman SG: Primary cortical motor neurons undergo apoptosis after axotomizing spinal cord injury. J Comp Neurol 462:328341, 2003 Hains BC, Black JA, Waxman SG: Primary cortical motor neurons undergo apoptosis after axotomizing spinal cord injury. J Comp Neurol 462:328–341, 2003

    • Search Google Scholar
    • Export Citation
  • 12.

    Harrop JS, , Sharan AD, , Vaccaro AR, & Przybylski GJ: The cause of neurologic deterioration after acute cervical spinal cord injury. Spine 26:340346, 2001 Harrop JS, Sharan AD, Vaccaro AR, Przybylski GJ: The cause of neurologic deterioration after acute cervical spinal cord injury. Spine 26:340–346, 2001

    • Search Google Scholar
    • Export Citation
  • 13.

    Katoh S, , Ikata T, , Tsubo M, , Hamada Y, & el Masry WS: Possible implication of leukocytes in secondary pathological changes after spinal cord injury. Injury 28:215217, 1997 Katoh S, Ikata T, Tsubo M, Hamada Y, el Masry WS: Possible implication of leukocytes in secondary pathological changes after spinal cord injury. Injury 28:215–217, 1997

    • Search Google Scholar
    • Export Citation
  • 14.

    Keane RW, , Kraydieh S, , Lotocki G, , Bethea JR, , Krajewski S, & Reed JC, et al: Apoptotic and anti-apoptotic mechanisms following spinal cord injury. J Neuropathol Exp Neurol 60:422429, 2001 Keane RW, Kraydieh S, Lotocki G, Bethea JR, Krajewski S, Reed JC, et al: Apoptotic and anti-apoptotic mechanisms following spinal cord injury. J Neuropathol Exp Neurol 60:422–429, 2001

    • Search Google Scholar
    • Export Citation
  • 15.

    Li GL, , Farooque M, , Holtz A, & Olsson Y: Apoptosis of oligodendrocytes occurs for long distances away from the primary injury after compression trauma to rat spinal cord. Acta Neuropathol 98:473480, 1999 Li GL, Farooque M, Holtz A, Olsson Y: Apoptosis of oligodendrocytes occurs for long distances away from the primary injury after compression trauma to rat spinal cord. Acta Neuropathol 98:473–480, 1999

    • Search Google Scholar
    • Export Citation
  • 16.

    Liu XZ, , Xu XM, , Hu R, , Du C, , Zhang SX, & McDonald JW, et al: Neuronal and glial apoptosis after traumatic spinal cord injury. J Neurosci 17:53955406, 1997 Liu XZ, Xu XM, Hu R, Du C, Zhang SX, McDonald JW, et al: Neuronal and glial apoptosis after traumatic spinal cord injury. J Neurosci 17:5395–5406, 1997

    • Search Google Scholar
    • Export Citation
  • 17.

    Lu J, , Ashwell KW, & Waite P: Advances in secondary spinal cord injury: role of apoptosis. Spine 25:18591866, 2000 Lu J, Ashwell KW, Waite P: Advances in secondary spinal cord injury: role of apoptosis. Spine 25:1859–1866, 2000

    • Search Google Scholar
    • Export Citation
  • 18.

    Marshall LF, , Knowlton S, , Garfin SR, , Klauber MR, , Eisenberg HM, & Kopaniky D, et al: Deterioration following spinal cord injury. A multicenter study. J Neurosurg 66:400404, 1987 Marshall LF, Knowlton S, Garfin SR, Klauber MR, Eisenberg HM, Kopaniky D, et al: Deterioration following spinal cord injury. A multicenter study. J Neurosurg 66:400–404, 1987

    • Search Google Scholar
    • Export Citation
  • 19.

    Pan L, , Ma L, , Gong J, , Yu Z, , Zhang X, & Li J, et al: [Venous hypertensive myelopathy caused by narrowing of ascending lumbar vein.] Zhonghua Wai Ke Za Zhi 40:752754, 2002 (Chn) Pan L, Ma L, Gong J, Yu Z, Zhang X, Li J, et al: [Venous hypertensive myelopathy caused by narrowing of ascending lumbar vein.] Zhonghua Wai Ke Za Zhi 40:752–754, 2002 (Chn)

    • Search Google Scholar
    • Export Citation
  • 20.

    Potter K, & Saifuddin A: Pictorial review: MRI of chronic spinal cord injury. Br J Radiol 76:347352, 2003 Potter K, Saifuddin A: Pictorial review: MRI of chronic spinal cord injury. Br J Radiol 76:347–352, 2003

    • Search Google Scholar
    • Export Citation
  • 21.

    Silberstein M, , Tress BM, & Hennessy O: Delayed neurologic deterioration in the patient with spinal trauma: role of MR imaging. AJNR 13:13731381, 1992 Silberstein M, Tress BM, Hennessy O: Delayed neurologic deterioration in the patient with spinal trauma: role of MR imaging. AJNR 13:1373–1381, 1992

    • Search Google Scholar
    • Export Citation
  • 22.

    Sugai F, , Sumi H, , Hara Y, , Kajiyama K, , Morino H, & Fujimura H: [An autopsy case of Degos' disease with ascending thoracic myelopathy.] Rinsho Shinkeigaku 38:10491053, 1998 (Jpn) Sugai F, Sumi H, Hara Y, Kajiyama K, Morino H, Fujimura H: [An autopsy case of Degos' disease with ascending thoracic myelopathy.] Rinsho Shinkeigaku 38:1049–1053, 1998 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 23.

    Takagi T, , Takayasu M, , Mizuno M, , Yoshimoto M, & Yoshida J: Caspase activation in neuronal and glial apoptosis following spinal cord injury in mice. Neurol Med Chir 43:2030, 2003 Takagi T, Takayasu M, Mizuno M, Yoshimoto M, Yoshida J: Caspase activation in neuronal and glial apoptosis following spinal cord injury in mice. Neurol Med Chir 43:20–30, 2003

    • Search Google Scholar
    • Export Citation
  • 24.

    Warden P, , Bamber NI, , Li H, , Esposito A, , Ahmad KA, & Hsu CY, et al: Delayed glial cell death following wallerian degeneration in white matter tracts after spinal cord dorsal column cordotomy in adult rats. Exp Neurol 168:213224, 2001 Warden P, Bamber NI, Li H, Esposito A, Ahmad KA, Hsu CY, et al: Delayed glial cell death following wallerian degeneration in white matter tracts after spinal cord dorsal column cordotomy in adult rats. Exp Neurol 168:213–224, 2001

    • Search Google Scholar
    • Export Citation
  • 25.

    Wingrave JM, , Schaecher KE, , Sribnick EA, , Wilford GG, , Ray SK, & Hazen-Martin DJ, et al: Early induction of secondary injury factors causing activation of calpain and mitochondriamediated neuronal apoptosis following spinal cord injury in rats. J Neurosci Res 73:95104, 2003 Wingrave JM, Schaecher KE, Sribnick EA, Wilford GG, Ray SK, Hazen-Martin DJ, et al: Early induction of secondary injury factors causing activation of calpain and mitochondriamediated neuronal apoptosis following spinal cord injury in rats. J Neurosci Res 73:95–104, 2003

    • Search Google Scholar
    • Export Citation
  • 26.

    Yablon IG, , Ordia J, , Mortara R, , Reed J, & Spatz E: Acute ascending myelopathy of the spine. Spine 14:10841089, 1989 Yablon IG, Ordia J, Mortara R, Reed J, Spatz E: Acute ascending myelopathy of the spine. Spine 14:1084–1089, 1989

    • Search Google Scholar
    • Export Citation
  • 27.

    Yamaura I, , Yone K, , Nakahara S, , Nagamine T, , Baba H, & Uchida K, et al: Mechanism of destructive pathologic changes in the spinal cord under chronic mechanical compression. Spine 27:2126, 2002 Yamaura I, Yone K, Nakahara S, Nagamine T, Baba H, Uchida K, et al: Mechanism of destructive pathologic changes in the spinal cord under chronic mechanical compression. Spine 27:21–26, 2002

    • Search Google Scholar
    • Export Citation
  • 28.

    Zurita M, , Vaquero J, , Oya S, & Morales C: Effects of dexamethasone on apoptosis-related cell death after spinal cord injury. J Neurosurg (Spine 1) 96:8389, 2002 Zurita M, Vaquero J, Oya S, Morales C: Effects of dexamethasone on apoptosis-related cell death after spinal cord injury. J Neurosurg (Spine 1) 96:83–89, 2002

    • Search Google Scholar
    • Export Citation

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