1973
DOI: 10.1001/archneur.1973.00490200082013
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Spinal Cord Infarction Secondary to Occlusion of the Anterior Spinal Artery

Abstract: In an 82-year-old man with an aneurysm of the descending aorta, a cholesterol embolus caused complete occlusion of the anterior spinal artery and spinal cord infarction. There was paraplegia of sudden onset and loss of pain perception, with preservation of touch, vibration, and position senses. The infarction was largely confined to the anterior horns and gray commissure, and extended from the tenth thoracic segment through the lumbosacral cord.(28: [134][135][136] 1973) (Fig 2). Macrophages and an occasi… Show more

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Cited by 36 publications
(14 citation statements)
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“…Pathologically, there are multiple irregular foci of pallor, rarefaction, and infarct-like necrosis in both grey and white matter (Hughes and Brownell, 1966;Jellinger and Neumayer, 1962;Fieschi et al, 1970). Atheromatous emboli may be observed within spinal intraparenchymal (Herrick andMills, 1971), anterior spinal (Laguna andCravioto, 1973), or lumber or intercostal arteries (Wolman and Bradshaw, 1968).…”
Section: Ischaemic Myelopathy Of Uncertain Typementioning
confidence: 99%
“…Pathologically, there are multiple irregular foci of pallor, rarefaction, and infarct-like necrosis in both grey and white matter (Hughes and Brownell, 1966;Jellinger and Neumayer, 1962;Fieschi et al, 1970). Atheromatous emboli may be observed within spinal intraparenchymal (Herrick andMills, 1971), anterior spinal (Laguna andCravioto, 1973), or lumber or intercostal arteries (Wolman and Bradshaw, 1968).…”
Section: Ischaemic Myelopathy Of Uncertain Typementioning
confidence: 99%
“…Occlusion of the ASA with infarction restricted to the spinal cord has been documented in a variety of conditions: emboli of cholesterol 6 and fibrocartilaginous intervertebral disc material, [7][8][9][10][11][12][13][14] clamping of abdominal aorta during aneurysmectomy, 15 arterial compression from adjacent vertebral metastatic tumor, 16 as a complication of intrathecal phenol injection, 17 and in relation to schistosoma infection.' 8 In these instances, the associated clinical findings have been a flaccid paraplegia with transverse level of sensory loss for pain and temperature, with preservation of posterior column function.…”
Section: Decussation Of the Pyramidsmentioning
confidence: 99%
“…[11][12][13] Generally speaking, the topographic distribution of infarcts in these syndromes corresponds well to that of the two arteries. [12][13][14] In the present patient, the infarction occupied the whole central areas Figure 3 Intersegmental and intrasegmental distribution of the infarction of the spinal cord (HE, LFB/PAS and CD68-immunostain; Th, thoracic; L, lumbar; S, sacral; original magnification  10; the lower thoracic and lower sacral segments are shown at higher print magnification) of the cord with a rim of white matter unaffected on the circumference of the cord. This pattern is unexplainable by the occlusion of the two arteries.…”
Section: Discussionmentioning
confidence: 52%