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

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Á¶¼þ¹® ( Cho Soong-Moon ) 
Inje University Seoul Paik Hospital Department of Radiology

À̱âÀç ( Lee Ghi-Jai ) 
Inje University Seoul Paik Hospital Department of Radiology
Áø¿ëÁØ ( Jin Yong-Jun ) 
Inje University Seoul Paik Hospital Department of Neurosurgery
±è±âȯ ( Kim Ki-Hwan ) 
Inje University Seoul Paik Hospital Department of Radiology
ÀÌ°æÀº ( Lee Kyoung-Eun ) 
Inje University Seoul Paik Hospital Department of Radiology
½ÉÀçÂù ( Shim Jae-Chan ) 
Inje University Seoul Paik Hospital Department of Radiology
Ȳ´ëÇö ( Hwang Dae-Hyun ) 
Inje University Seoul Paik Hospital Department of Radiology
±èÈ£±Õ ( Kim Ho-Kyun ) 
Inje University Seoul Paik Hospital Department of Radiology

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.

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Compartment Syndromes; Low Back Pain; Magnetic Resonance Imaging

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