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J Korean Soc Radiol.  2019 Nov;80(6):1229-1234. 10.3348/jksr.2019.80.6.1229.

Exercise-Induced Paraspinal Muscle Rhabdomyolysis with Seconary Compartment Syndrome: A Case Report

Affiliations
  • 1Department of Radiology, Inje University Seoul Paik Hospital, Seoul, Korea. hongage8@naver.com
  • 2Department of Neurosurgery, Inje University Seoul Paik Hospital, Seoul, Korea.

Abstract

Lumbar paraspinal compartment syndrome is an uncommon cause of acute lower back pain. It can result from intense physical activity or as a complication of surgery or medication. Lumbar paraspinal compartment syndrome without external trauma is rarely reported in literature. We report a case of compartment syndrome that followed back muscle exercise and caused rhabdomyolysis. MRI findings include bilateral bulging of the paraspinal muscle, hyperintensity on T2-weighted image, and heterogeneous enhancement. Moreover, loss of intramuscular vasculature on a contrast-enhanced CT scan attributed to diagnose compartment syndrome in this case.


MeSH Terms

Back Muscles
Compartment Syndromes*
Low Back Pain
Magnetic Resonance Imaging
Motor Activity
Paraspinal Muscles*
Rhabdomyolysis*
Tomography, X-Ray Computed
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