Paravertebral compartment syndrome after exercise: a case report

BACKGROUND: Paravertebral compartment syndrome occurring without trauma is quite rare. We report a case of compartment syndrome that occurred after spinal exercises. CASE PRESENTATION: A 23-year-old Japanese rower developed severe back pain and was unable to move 1 day after performing exercises for...

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Autores principales: Ogoshi, Tomofumi, Yoshimiya, Motoo, Ichibakase, Hiroshi, Kimura, Takayoshi, Kameoka, Masafumi, Yoshioka, Hayato, Ueda, Takahiro, Homma, Masato, Enokida, Shinpei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7603721/
https://www.ncbi.nlm.nih.gov/pubmed/33129357
http://dx.doi.org/10.1186/s13256-020-02535-1
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author Ogoshi, Tomofumi
Yoshimiya, Motoo
Ichibakase, Hiroshi
Kimura, Takayoshi
Kameoka, Masafumi
Yoshioka, Hayato
Ueda, Takahiro
Homma, Masato
Enokida, Shinpei
author_facet Ogoshi, Tomofumi
Yoshimiya, Motoo
Ichibakase, Hiroshi
Kimura, Takayoshi
Kameoka, Masafumi
Yoshioka, Hayato
Ueda, Takahiro
Homma, Masato
Enokida, Shinpei
author_sort Ogoshi, Tomofumi
collection PubMed
description BACKGROUND: Paravertebral compartment syndrome occurring without trauma is quite rare. We report a case of compartment syndrome that occurred after spinal exercises. CASE PRESENTATION: A 23-year-old Japanese rower developed severe back pain and was unable to move 1 day after performing exercises for the spinal muscles. Initial evaluation at a nearby hospital revealed hematuria and elevated creatine phosphokinase levels. He was transferred to our hospital, where magnetic resonance imaging revealed no hematoma but confirmed edema in the paravertebral muscles. The compartment pressure measurements were elevated bilaterally. Despite his pain being severe, his creatine phosphokinase levels were expected to peak and decline; his urine output was normal; and surgery was undesirable. Therefore, we opted for conservative management. The next day, the patient’s compartment pressure diminished, and his pain levels decreased to 2/10. After 5 days, he was able to walk without medication. CONCLUSIONS: We present a rare case of compartment syndrome of the paravertebral muscles with good resolution following conservative management. We hope our case findings will help avoid unnecessary surgery in cases of paravertebral compartment syndrome.
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spelling pubmed-76037212020-11-02 Paravertebral compartment syndrome after exercise: a case report Ogoshi, Tomofumi Yoshimiya, Motoo Ichibakase, Hiroshi Kimura, Takayoshi Kameoka, Masafumi Yoshioka, Hayato Ueda, Takahiro Homma, Masato Enokida, Shinpei J Med Case Rep Case Report BACKGROUND: Paravertebral compartment syndrome occurring without trauma is quite rare. We report a case of compartment syndrome that occurred after spinal exercises. CASE PRESENTATION: A 23-year-old Japanese rower developed severe back pain and was unable to move 1 day after performing exercises for the spinal muscles. Initial evaluation at a nearby hospital revealed hematuria and elevated creatine phosphokinase levels. He was transferred to our hospital, where magnetic resonance imaging revealed no hematoma but confirmed edema in the paravertebral muscles. The compartment pressure measurements were elevated bilaterally. Despite his pain being severe, his creatine phosphokinase levels were expected to peak and decline; his urine output was normal; and surgery was undesirable. Therefore, we opted for conservative management. The next day, the patient’s compartment pressure diminished, and his pain levels decreased to 2/10. After 5 days, he was able to walk without medication. CONCLUSIONS: We present a rare case of compartment syndrome of the paravertebral muscles with good resolution following conservative management. We hope our case findings will help avoid unnecessary surgery in cases of paravertebral compartment syndrome. BioMed Central 2020-11-01 /pmc/articles/PMC7603721/ /pubmed/33129357 http://dx.doi.org/10.1186/s13256-020-02535-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Ogoshi, Tomofumi
Yoshimiya, Motoo
Ichibakase, Hiroshi
Kimura, Takayoshi
Kameoka, Masafumi
Yoshioka, Hayato
Ueda, Takahiro
Homma, Masato
Enokida, Shinpei
Paravertebral compartment syndrome after exercise: a case report
title Paravertebral compartment syndrome after exercise: a case report
title_full Paravertebral compartment syndrome after exercise: a case report
title_fullStr Paravertebral compartment syndrome after exercise: a case report
title_full_unstemmed Paravertebral compartment syndrome after exercise: a case report
title_short Paravertebral compartment syndrome after exercise: a case report
title_sort paravertebral compartment syndrome after exercise: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7603721/
https://www.ncbi.nlm.nih.gov/pubmed/33129357
http://dx.doi.org/10.1186/s13256-020-02535-1
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