Spinal artery infarction

Jacob, Ina Lovise; Ringstad, Geir; Enriquez, Brian Anthony; Jusufovic, Mirza

doi:10.4045/tidsskr.22.0355

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…At present, according to relevant reports at home and abroad, the main cause of spinal cord infarction is atherosclerosis, and MRI is the most important examination method. [5] The patient in this case had a clear history of stent implantation for severe stenosis at the onset of the vertebral artery before spinal infarction, which was considered as the cause of the infarction. Combined with MRI and clinical features, T3 anterior spinal artery (ASA) syndrome was considered as the diagnosis.…”

Section: Discussionmentioning

confidence: 95%

A case report of high cervical spinal infarction after stenting with severe stenosis at the beginning of left vertebral artery

Cheng,

Wu,

Yang

et al. 2024

Medicine

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Background: Spinal cord infarction is an uncommon nervous system disorder. We present a case of high cervical cord infarction caused by stenting of the origin of the left vertebral artery (VA). The incidence of spinal cord infarction is minimal, and it must be distinguished from a number of other disorders. The diagnosis is primarily based on imaging, clinical symptoms, and history. Currently, there is no focused treatment for spinal cord infarction. Thrombolysis, high-dose glucocorticoid shocks, tube dilatation to promote circulation, and nutritional neurotropic medicines given early in the course of the disease can all help to slow the disease’s progression. There is no agreement on the etiology, diagnosis, or therapy options for these people. Case presentation: On October 7, 2023, an 81-year-old man was admitted to the hospital primarily for recurrent chest tightness and pain that had persisted for more than 2 years and 1 month. Cerebral angiography upon admission revealed significant blockage of the right VA and stenosis of the left vertebral arterial origin. Six days following admission, a drug-eluting stenting procedure was carried out under local anesthesia to open the left VA origin via the femoral artery. Following the procedure, the patient experienced a progressive loss of muscle strength in all 4 limbs and paraplegia below the cervical 3 spinal cord. One week following the procedure, the patient was released from the hospital. After the procedure, the patient was released 1 week later. After the procedure, the patient’s symptoms persisted for a month. Conclusion: High awareness for high cervical cord infarction is required when neck discomfort and limb weakness with progressive progression arises after surgery. Complications of high cervical cord infarction following stenting for stenosis of VA origin are uncommon in clinical settings. Patients’ prognoses can be improved by prompt diagnosis and care.

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Section: Discussionmentioning

confidence: 95%

A case report of high cervical spinal infarction after stenting with severe stenosis at the beginning of left vertebral artery

Cheng,

Wu,

Yang

et al. 2024

Medicine

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“…Additionally, the spinal cord comprises ascending and descending tracks in charge of voluntary movement and pain/temperature sensation, respectively. The anterior spinal artery runs along the spinal cord and supplies blood to the anterior two-thirds of the spinal cord, including the ascending and descending tracks [ 8 ]. As such, anterior compression of the spinal cord is highly related to the patient’s neurologic deficits.…”

Section: Introductionmentioning

confidence: 99%

Difference between Anterior and Posterior Cord Compression and Its Clinical Implication in Patients with Degenerative Cervical Myelopathy

Kang

Jang

Choi

et al. 2023

JCM

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In degenerative cervical myelopathy (DCM), the low anteroposterior compression ratio of the spinal cord is known to be associated with a neurologic deficit. However, there is little detailed analysis of spinal cord compression. Axial magnetic resonance images of 183 DCM patients at normal C2–C3 and maximal cord compression segments were analyzed. The anterior (A), posterior (P), and anteroposterior length and width (W) of the spinal cord were measured. Correlation analyses between radiographic parameters and each section of Japanese Orthopedic Association (JOA) scores and comparisons of the patients divided by A (below or above 0, 1, or 2 mm) were performed. Between C2–C3 and maximal compression segments, the mean differences of A and P were 2.0 (1.2) and 0.2 (0.8) mm. The mean anteroposterior compression ratios were 0.58 (0.13) at C2–C3 and 0.32 (0.17) at maximal compression. The A and A/W ratio were significantly correlated with four sections and the total JOA scores (p < 0.05), but the P and P/W ratio did not demonstrate any correlations. Patients with A < 1 mm had significantly lower JOA scores than those with A ≥ 1 mm. In patients with DCM, spinal cord compression occurs mainly in the anterior part and the anterior cord length of <1 mm is particularly associated with neurologic deficits.

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Spinal artery infarction

Cited by 2 publications

References 3 publications

A case report of high cervical spinal infarction after stenting with severe stenosis at the beginning of left vertebral artery

A case report of high cervical spinal infarction after stenting with severe stenosis at the beginning of left vertebral artery

Difference between Anterior and Posterior Cord Compression and Its Clinical Implication in Patients with Degenerative Cervical Myelopathy

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