Inferior ST segment elevation myocardial infarction combined with hyperextension cervical spine injury: A rare case report

This case report describes a rare instance of a patient experiencing both an inferior ST-segment elevation myocardial infarction (STEMI) and a hyperextension cervical spine injury. The patient initially presented with chest tightness and a disturbance of consciousness. The patient's condition was complicated by a fall, leading to incomplete paralysis and paresthesia of the extremities. Diagnostic imaging revealed significant stenosis in the left circumflex coronary artery (LCX) and cervical spine injuries, including disc herniation and spinal cord compression. The patient underwent interventions including anticoagulation, thrombus removal, and anti-platelet aggregation therapy for the STEMI, along with conservative management and rehabilitation for the cervical spine injury. The patient showed improvement and had no recurrence of syncope or precordial pain during the follow-up period.

• 1
  The patient was diagnosed with inferior STEMI combined with hyperextension cervical spine injury, a rare and challenging clinical presentation.
• 2
  Coronary angiography revealed a 99% stenosis in the LCX, highlighting the severity of the myocardial infarction.
• 3
  Cervical spine MRI showed C2/3, C3/4, C4/5, and C5/6 intervertebral disc herniation with secondary spinal stenosis, spinal cord compression, and edema.