Myelopathy due to Spinal Extramedullary Hematopoiesis in a Patient with Polycythemia Vera

Author:

Ito Shuhei1,Fujita Nobuyuki1ORCID,Hosogane Naobumi2,Nagoshi Narihito1,Yagi Mitsuru1,Iwanami Akio1,Watanabe Kota1,Tsuji Takashi3,Nakamura Masaya1,Matsumoto Morio1,Ishii Ken1

Affiliation:

1. Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan

2. Department of Orthopaedic Surgery, National Defence Medical College, Saitama, Japan

3. Department of Orthopaedic Surgery, Fujita Health University School of Medicine, Aichi, Japan

Abstract

Extramedullary hematopoiesis (EMH) occasionally occurs in patients exhibiting hematological disorders with decreased hematopoietic efficacy. EMH is rarely observed in the spinal epidural space and patients are usually asymptomatic. In particular, in the patients with polycythemia vera, spinal cord compression due to EMH is extremely rare. We report a case of polycythemia vera, in which operative therapy proved to be an effective treatment for myelopathy caused by spinal EMH.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,General Environmental Science

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