Pdf spinal cord ischemia aetiology clinical syndromes and imaging features

Pdf spinal cord ischemia aetiology clinical syndromes and imaging features
MR is the imaging method of choice for diagnosing spinal cord ischemia or infarction. A thorough knowledge of the spinal cord arterial territories is crucial for characterizing ischemic MR signal abnormalities and for differentiating them from other causes of myelopathy.
Spinal cord ischemia (SCI) is rare, accounting for 1% of all strokes. 1–3 Vertebral dissection can be seen in 4% to 10% of SCI. 2,4 SCI has many causes, often procedurally related, in-
Spinal cord infarcts are rare, and the most recent publications were case reports describing clinical and radiological features, or unusual causes. 1– 8 The few series of cases were retrospective, or did not systematically perform a magnetic resonance imaging (MRI) scan at the acute stage. 9– 12 They were either small series, or larger series collected over a long period of time with
PURPOSE/AIM Spinal cord ischemia is rare, but should be considered in all abrupt onset medullary syndromes. Early imaging by MRI can aid, but may be negative in the first few days.
Spinal cord ischemia: aetiology, clinical syndromes and imaging features Stefan Weidauer , Michael Nichtweiss , Elke Hattingen , Joachim Berkefeld Neuroradiology
Spinal cord ischemia can occur as a result of spontaneous/traumatic aortic dissection, thoracoabdominal surgery, spinal angiography, decompression sickness, vasculitis, sickle cell anemia, and hypercoagulable states. Spontaneous aortic dissection is the most common cause and is responsible for about 2% of cases.
of the spinal cord (dark gray in E). F through H, Posterior spinal artery infarct. The lesion may be limited to the posterior columns (F [dark gray in H]) o r extend into F through H, Posterior spinal …
In this review, we present several cases highlighting both clinical and imaging features of spontaneous spinal cord infarct that can help clinicians identify these cases. Spinal Cord Blood Supply From the descending aorta, the posterior intercostal arteries and lumbar arteries give off the segmental arteries.
Etiology specific features on MRI were found to be unreliable but associated features helped to synthesize the clinical picture. These difficult cases underscore the need for neurologists to be familiar with the differential diagnosis of LETM and to use key distinguishing findings on MRI to help differentiate NMOSD from other diseases such as SCI.
Spinal cord infarctions are rare. They are difficult to diagnose clinically and remain undiagnosed even after extensive investigations. Magnetic Resonance (MR) features include hyperintensity of the cord …
Abstract. The purpose of this article is to investigate the relationship between clinical features and imaging characteristics of spinal cord infarction (SCI).
The anterior spinal artery is distributed to the anterior two thirds of the spinal cord including the anterior horns of the gray matter, the spinothalamic tract, and the corticospinal tract, and thus can be involved in the symptoms of acute SCI.
Spinal cord infarction after weight lifting It can now be confirmed by magnetic resonance imaging (MRI), which is the imaging method of choice [1-4] . Common causes of ASAS include aortic disease, thoracolumbar surgery, hypotension, and thromboembolic disorders [5] .
Spinal cord infarction is a rare but often devastating disorder caused by a wide array of pathologic states. Patients typically present with acute paraparesis or quadriparesis, depending on the level of the spinal cord involved. The diagnosis is generally made clinically, with neuroimaging to
Neuroradiology (2002) 44: 851–857 DOI 10.1007/s00234-002-0828-5 DIAGNOSTIC NEURORADIOLOGY Stefan Weidauer Spinal cord infarction: MR imaging Michael Nichtweiss Heinrich Lanfermann and clinical features in 16 cases Friedhelm E. Zanella Received: 18 March 2002 Abstract Spinal cord infarctions are at the upper thoracic level (T3–T5) in Accepted: 30 May 2002 rare and due to …

Acute Limb Arterial Ischemia Emergency Medicine

Long-Term Outcome of Acute Spinal Cord Ischemia Syndrome
Posterior cord syndrome (PCS), also known as posterior spinal artery syndrome (PSA), is a type of incomplete spinal cord injury. PCS is the least commonly occurring of the six clinical spinal cord injury syndromes, with an incidence rate of less than 1%.
Follow-up cervical spine MR imaging (Fig. 1A, 1B, 1C, 1D) 3 months after initiation of B 12 therapy showed marked interval resolution of the areas of abnormal signal intensity in the spinal cord. Follow-up brain MR imaging was unchanged.
Spinal cord ischemia is a relatively uncommon form of spinal cord injury. The true prevalence of cord ischemia is not known, but it is suggested that fewer than 2% of central neurovascular events
7 Byeol A Yoon, Jong Juk Kim, Dong Ho Ha, A Case of Man-in-the-Barrel Syndrome Induced by Cervical Spinal Cord Ischemia, Korean Journal of Clinical Neurophysiology, 2013, 15, 2, 59CrossRef
Definition Lumbar spinal pain occurring in a patient with clinical and/or other features of an infection, in whom the site of infection can be specified and which can reasonably be …

with a very nicely illustrated review of the normal spinal cord anatomy focusing on the dorsal columns, lateral corticospinal tract, spinothalamic tract, and the blood supply to the cord.
in symptoms, etiology, and treatment makes myelopathy one of the more uncomfortable neurologic syndromes. Myelopa-thy is diagnosed by signs and symptoms suggestive of spinal cord dysfunction. Imaging and laboratory tests help point to the cause. We review here the anatomy of the spinal cord, clinical features of myelopathy, and some common causes. Anatomy The spinal cord is a …
Figure 3. MR imaging of the entire spinal cord. The spinal cord is segmented approximately to the corresponding location of the 31 pair of spinal nerves (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal segments).
Weidauer S, Nichtweiß M, Hattingen E, Berkefeld J (2015) Spinal cord ischemia: aetiology, clinical syndromes and imaging features. Neuroradiology 57: 241-257.

spinal cord ischemia, hypovolemic shock, myocardial infarction, MRI, anterior spinal syndrome Introduction Acute spinal cord infarction (SCI) is a rare condition, accounting for 1% of stroke [1] and represents a diagnostic challenge.
Read “Spinal Cord in Multiple Sclerosis: Magnetic Resonance Imaging Features and Differential Diagnosis, Seminars in Ultrasound, CT and MRI” on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
Every neurologist will be familiar with the patient with atypical spinal cord disease and the challenges of taking the diagnosis forward. This is predominantly because of the limited range of possible clinical and investigation findings making most individual features non-specific. The difficulty in obtaining a tissue diagnosis further
1. Introduction. Spinal cord infarction (SCI) is a dramatic acute event, associated with long-term sequelae impacting a patient’s quality of life over the long term , . No epidemiologic data are available for childhood SCI even though it is considered to be much less frequent than a cerebral ischemic stroke.
Incomplete spinal cord syndromes are reviewed, with descriptions of the relevant spinal cord anatomy and common causes of these syndromes and with emphasis on the correlation of anatomic and imaging findings with clinical manifestations. The ability to localize the three spinal …
27/09/2012 · Different clinical subtypes have been recognized: anterior and posterior spinal artery syndrome due to radicular artery territory infarction, and central and transverse infarctions due to general spinal-cord hypoperfusion and ischemia. 2 Underlying causes include aortic disease and surgery, atherosclerosis, degenerative spinal disease, systemic hypotension, vertebral artery …
G. SPINAL PAIN SECTION 3 SPINAL AND RADICULAR PAIN
Conclusion: The most common clinical feature in spinal cord ischemia is a centromedullar syndrome, and in contrast to anterior spinal artery ischemia, infarcts in the posterior spinal artery
Acute Non-Traumatic Weakness: 7 Anatomical Localization Based on the location of nervous system pathology Understanding the cause of weakness can be aided by localizing anatomically, since diseases
This study presents the clinical features and functional outcomes of eight consecutive patients who were admitted to our institution between 2012 and 2014 with nontraumatic spinal cord infarction (SCI), a rare and devastating condition.
Spinal cord infarction remains the less well-studied form of acute ischemic stroke. Although several useful studies describing the clinical and radiological features of spinal cord infarction have been published and the characteristics of the presenting syndrome are fairly well known, its risk factors (apart from aortic dissection and aortic surgery), area of maximal cord involvement, and
Ventral cord syndrome (also known as anterior cord syndrome) is one of the incomplete cord syndromes and affects the anterior parts of the cord resulting in a pattern of neurological dysfunction dominated by motor paralysis and loss of pain, temperature and autonomic function. Anterior spinal artery ischemia is the most common cause. – microsoft office document imaging 2010 free We consider the clinical, radiological and neurophysiological findings obtained from 2 cases of patients with infarction of the spinal cord in the distribution of the anterior spinal artery to support our hypothesis that the ventral roots may play a role in the genesis of ipsilateral segmental neuropathic pain …
attack (TIA), transient symptoms with infarction (TSI) and ischemic stroke (IS) on the basis of clinical and imaging findings. Each syndrome is associated with distinct clinical, imaging and prognostic features.
Spinal cord ischemia (SCI) is rare, accounting for 1% of all strokes. 1–3 Vertebral dissection can be seen in 4% to 10% of SCI. 2,4 SCI has many causes, often procedurally related, including aortic surgery (most common), vertebral angiography, renal artery embolization, and …
Conclusions There are 2 main types of spinal cord ischemia: (1) radicular artery territory infarct (bilateral anterior or posterior spinal artery infarcts and unilateral infarcts) and (2) extensive spinal cord hypoperfusion (central and transverse infarcts). Each type has characteristic clinical, imaging, pathogenetic, and prognostic features.
SUMMARY: Spinal cord infarction following lumbar transforaminal epidural steroid injection is a rare and devastating complication. We describe the case of a 55-year-old woman who developed spinal cord infarction following right L2-3 transforaminal epidural injection, diagnosed on the basis of clinical and MR imaging findings.
In this article, we illustrate the principal causes in children and adults, clinical presentation, different techniques for the diagnosis by MR imaging (diffusion, spinal MR angiography, and 1.5 versus 3T), pathophysiology, and differential diagnosis. We will discuss current knowledge, perspectives, and …
toms, and imaging findings of spinal cord ischemia. Third, we discuss spinal vascular malformations that typically lead to progressive spinal cord symptoms and myelopathy if not properly treated. Depending on the type of spinal vascular disease, initial symptomsmayvarybetween acuteorchronic onset. Pathophysiologic mechanisms include arte-rial ischemia, intramedullary or subarachnoidal
Spinal cord infarction is extremely rare in children, and, similar to cerebrovascular infarcts, the pathogenesis is different from adults. Spinal cord infarcts are most commonly reported in adults in the context of aortic surgery; in children, the etiology is frequently unknown. Fibrocartilaginous
A patient presenting with intact sensory modalities in acute spinal cord ischemia syndrome: a case report. 5 Pages during the ischemic episode [1]. T9 and T11. Mid-thoracic levels are most vulnerable to Acute spinal cord ischemia syndrome (ASCIS) is predic- ischemia (for example, as a result of thrombosis) as tably due primarily to pathology in the anterior spinal there is only one
Spinal cord infarction Clinical presentation and diagnosis
Demographic features, clinical syndrome, and Magnetic Resonance Imaging (MRI) findings were recorded. All of the patients underwent a standard battery of diagnostic investigations. All of the patients suspected to SCI had MRI of spinal cord at the symptomatic level of cord with a 0.5 Tesla generation, Philips NT Intra , Netherland equipment. An equal number of patients with Brain Infarction
This triad of clinical features may not be seen in all patients with a medial medullary syndrome. slowly growing epidural tumors. contralateral to the side of infarct and weakness of the tongue ipsilateral to the infarct. and very rarely spinal cord infarction. with a distinct spinal level. The anterior spinal artery syndrome is the most common and patients present with acute-onset symmetrical
Other Ischemic Spinal Cord Syndromes Transient spinal cord ischemic episodes (spinal TIAs) are rare, but they can herald the definitive infarct [2, 5]. They usually present with a fluctu-ating paraparesis over a few minutes to one hour, sometimes in clusters. Exceptionally, these epi-sodes can take the form of spinal cord claudication Table 1. Summary of the clinical features of spinal cord
Acute spinal cord ischemia syndrome (ASCIS) is rare, accounting for ≈5% to 8% of all acute myelopathies and 1% to 2% of all vascular neurological pathologies. 1 It usually has been associated with an unfavorable prognosis.
Introduction: Spinal cord decompression sickness (DCS) is a rare condition that can lead to spinal cord infarction. Despite the low incidence of diving‐related DCS, we have managed to collect the data and MRI findings of seven patients who have been diagnosed with and treated for DCS in our local hyperbaric facility.
fine the clinical and neuroradiological features and the incidence of spinal cord infarction. Materials and Methods We reviewed the clinical and neuroradiologi-cal documentation of 37 consecutive patients with vertebral artery dissection diagnosed at our institution from 1996 to 2003. Patients were referred to our neuroradiologi-cal unit for a second level examination, includ-ing digital
CONTINUING EDUCATION Spinal cord ischemia: aetiology, clinical syndromes and imaging features Stefan Weidauer & Michael Nichtweiß & Elke Hattingen & Joachim Berkefeld
Acute limb ischemia (ALI) is an emergent medical condition that is characterized by a precipitous decrease in limb perfusion that threatens the viability of the affected limb, and symptoms that have been present for 14 days or less. 1-5 The incidence of lower extremity ALI in the US is nine to 16 cases per 100,000 persons per year, and one to
The overlap of imaging and clinical features with those of other spinal pathologic conditions, particularly spinal infection, creates a diagnostic challenge. This article describes the clinical and imaging features as well as the pathophysiology of SNA and reviews the imaging differential diagnosis of this complex entity.
Clinical syndromes and time to emergency department (ED) presentation and spinal cord magnetic resonance imaging (MRI) of 39 patients with non-surgical spinal cord infarction. One extreme outlier with ASIA Impairment Scale B was excluded for the analysis of time to hospital admission.
Spinal cord ischemia after resection of thoracoabdominal

ORIGINAL CONTRIBUTION Spinal Cord Ischemia
Epidemiology. Acute spinal cord ischaemia syndrome represents only 5-8% of acute myelopathies 4,5 and <1% of all strokes 7. The demographic of affected individuals will reflect the underlying cause, although generally, two peaks are present with different aetiologies.
Spinal cord infarction is a relatively rare but potentially devastating condition, where part of the spinal cord gets infarcted secondary to an interruption to its blood supply.
Key Words: anterior spinal artery syndrome 䡲 outcome 䡲 spinal cord ischemia A cute spinal cord ischemia syndrome (ASCIS) is rare, accounting for ⬇5% to 8% of all acute myelopathies and 1% to 2% of all vascular neurological pathologies.1 It excluded an alternative diagnosis such as extrinsic or intrinsic cord compression; and (3) exclusion of alternative causes such as vascular
In a 19.8-year period, clinical records and magnetic resonance imaging (MRI) features of 55 consecutive patients suffering from spinal cord ischemia were evaluated. Results Aetiologies of infarcts were arteriosclerosis of the aorta and vertebral arteries (23.6 %), aortic surgery or interventional aneurysm repair (11 %) and aortic and vertebral artery dissection (11 %), and in 23.6 %, aetiology
Second, we describe causes, symptoms, and imaging findings of spinal cord ischemia. Third, we discuss spinal vascular malformations that typically lead to progressive spinal cord symptoms and myelopathy if not properly treated. Depending on the type of spinal vascular disease, initial symptoms may vary between acute or chronic onset. Pathophysiologic mechanisms include arterial ischemia
Acute spinal cord ischemia syndrome is a rare condition comprising a small fraction of neurovascular accidents, the majority of which occur within the cerebral circulation. The circulation of the spinal cord has several unique features that determine the clinical presentation. The spinal circulation
Hence, adult onset TCS is often referred to as a tethered cord-tight filum syndrome, occult tethered cord, and normal conus-tight filum syndrome. 8,9,10 Similar to primary TCS, releasing of the tethered FT in adults has been shown to be efficacious in the resolution of symptoms and, perhaps, prevention of further deterioration of the spinal cord 7-10,12,27 Because of their different clinical
adults, clinical presentation, different techniques for the diagnosis by MR imaging (diffusion, spinal MR angiography, and 1.5 versus 3T), pathophysiology, and differential diagnosis. We will discuss current knowledge, perspectives, and pitfalls.
The causes of spinal cord ischemia vary widely and are well documented: arteriosclerosis, 24 infection, 15, 21, 37 trauma, especially in children, 1, 4 vasculitis, 14 emboli, 40 aortic surgery, 23, 28, 32 and irradiation. 7 However, the diagnosis of spinal cord infarction depends on clinical evidence, and the radiological manifestation remains unclear. Recently, several reports showing the MR
Delayed Hospital Presentation and Neuroimaging in Non

Spinal cord infarction MR imaging and clinical features
AbstractObjective: Spinal cord infarction (SCI) is a rare complication of vertebral artery dissection (VAD). Its clinical features and outcomes have not yet been well documented.Methods: In addition to reporting a case with bilateral SCI caused by left VAD, we performed a systematic review of the literature conducted through a PubMed search
Administration of methylprednisolone (MP) for the treatment of acute spinal cord injury (SCI) is not recommended. Clinicians considering MP therapy should bear in mind that the drug is not Food and Drug Administration (FDA) approved for this application. There is no Class I or Class II medical evidence supporting the clinical benefit of MP in the treatment of acute SCI. Scattered reports of
Posterior cerebral artery territory infarcts: clinical features, infarct topography, causes and outcome. Multicenter results and a review of the literature . Cerebrovasc Dis 2000 ; 10 (3): 170 –82.
Transient ischemic attack Stroke Ischemia
sultant ischemia in the distribution of the anterior spinal artery could have led then to segmental spinal cord infarction within the territory of a sulcocommissural artery.

Spinal cord ischemia aetiology clinical syndromes and

Spinal Cord Infarction Mimicking Angina Pectoris
– Spinal cord infarction with ipsilateral segmental
Clinical features and outcomes of spinal cord infarction

Spinal cord infarction after weight lifting The American

Neurology 2016 Vijayan e45 7 Spinal Cord Stroke