Spinal Cord Infarction with Aortic Dissection

Kawabata, Atsuyuki; Tomori, Masaki; Arai, Yoshiyasu

doi:10.1155/2018/7042829

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Thus, it is paramount to repeat an MRI scan days later. [ 11 ] However, emergent MRI is vital to rule out mimics that require acute management. MRI abnormalities including cord swelling and hyperintensity on T2-weighted images may be seen.…”

Section: Discussionmentioning

confidence: 99%

Transverse spinal cord infarction following immunoglobulin treatment in a patient with exfoliative dermatitis: A case report

Zhang,

He,

Huang

et al. 2024

Medicine

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Rationale: Transverse spinal cord infarction (SCI) is rare but highly disabling. Aortic thrombosis was described as one of the most common etiologies. Thromboembolic complications associated with intravenous immunoglobulin (IVIG) have been reported. Patient concerns: A previously well, 64-year-old man who was given the treatment of IVIG (0.4 g/kg/d for 5 days) for exfoliative dermatitis 2 weeks before, progressively developed flaccid paraplegia of lower extremities, loss of all sensations below T3 level and urinary incontinence within 50 minutes. Diagnoses: A diagnosis of SCI and pulmonary embolism was made. IVIG was considered the possible cause. Interventions: Anticoagulation treatment and continuous rehabilitation were administered. Outcomes: The neurologic deficiency of the patient was partially improved at the 3-year follow-up. Lessons: The rapid development of severe deficits within 4 hours mostly contributes to the diagnosis of SCI. Heightened awareness of possible thrombotic events is encouraged for a month-long period following IVIG therapy.

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Section: Discussionmentioning

confidence: 99%

Transverse spinal cord infarction following immunoglobulin treatment in a patient with exfoliative dermatitis: A case report

Zhang,

He,

Huang

et al. 2024

Medicine

View full text Add to dashboard Cite

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Ambulatory status and related factors in patients with spinal cord ischemia due to aortic aneurysm

Puthai,

Thirapatarapong

2024

Heart & Lung

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Recovery of neurological function following type B aortic dissection complicated by paraplegia

Khoshhal²,

Common³

et al. 2022

BMJ Case Rep

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A woman in her 50s presented with uncontrolled hypertension, chest/back pain, paraplegia, right lower limb ischaemia and acute kidney injury. A CT angiogram demonstrated a type B aortic dissection originating distal to the left subclavian artery to bilateral common iliac arteries complicated by occlusion of the right renal artery and right common iliac artery. She was started on intravenous antihypertensive therapy and transferred to our institution for emergent thoracic endovascular aortic repair. Due to bleeding risk from coagulopathy, a spinal drain was not placed immediately post-operatively but instead was inserted after 24 hours while maintaining a mean arterial pressure of 80–100 mm Hg. Postoperatively, her right lower extremity perfusion was re-established, and her renal function recovered following temporary dialysis. At discharge on postoperative day 13, she regained full neurological function.

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Spinal Cord Infarction with Aortic Dissection

Cited by 4 publications

References 14 publications

Transverse spinal cord infarction following immunoglobulin treatment in a patient with exfoliative dermatitis: A case report

Transverse spinal cord infarction following immunoglobulin treatment in a patient with exfoliative dermatitis: A case report

Ambulatory status and related factors in patients with spinal cord ischemia due to aortic aneurysm

Recovery of neurological function following type B aortic dissection complicated by paraplegia

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