Spontaneous thoracolumbar spinal cord infarction: report of six cases

Monteiro, L.; Leite, Inês; Ja, Pinto; Stocker, A.

doi:10.1111/j.1600-0404.1992.tb05487.x

Cited by 32 publications

(17 citation statements)

References 11 publications

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“…Previous studies observed a more favorable outcome in ischemic myelopathy of cryptogenic origin. 15,16 However, the origin had no predictive value in our series.…”

Section: Discussioncontrasting

confidence: 42%

Long-Term Outcome of Acute Spinal Cord Ischemia Syndrome

Nedeltchev

Loher

Stepper

et al. 2004

Stroke

210

215

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Background and Purpose-Current knowledge of long-term outcome in patients with acute spinal cord ischemia syndrome (ASCIS) is based on few studies with small sample sizes and Ͻ2 years' follow-up. Therefore, we analyzed clinical features and outcome of all types of ASCIS to define predictors of recovery. Methods-From January 1990 through October 2002, 57 patients with ASCIS were admitted to our center. Follow-up data were available for 54. Neurological syndrome and initial degree of impairment were defined according to American Spinal Injury Association (ASIA)/International Medical Society of Paraplegia criteria. Functional outcome was assessed by walking ability and bladder control. Results-Mean age was 59.4 years; 29 were women; and mean follow-up was 4.5 years. The origin was atherosclerosis in 33.3%, aortic pathology in 15.8%, degenerative spine disease in 15.8%, cardiac embolism in 3.5%, systemic hypotension in 1.8%, epidural anesthesia in 1.8%, and cryptogenic in 28%. The initial motor deficit was severe in 30% (ASIA grades A and B), moderate in 28% (ASIA C), and mild in 42% (ASIA D). At follow-up, 41% had regained full walking ability, 30% were able to walk with aids, 20% were wheelchair bound, and 9% had died. Severe initial impairment (ASIA A and B) and female sex were independent predictors of unfavorable outcome (Pϭ0.012 and Pϭ0.043). Conclusions-Considering a broad spectrum of clinical presentations and origins, the outcome in our study was more favorable than in previous studies reporting on ASCIS subgroups with more severe initial deficits.

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“…Previous studies observed a more favorable outcome in ischemic myelopathy of cryptogenic origin. 15,16 However, the origin had no predictive value in our series.…”

Section: Discussioncontrasting

confidence: 42%

Long-Term Outcome of Acute Spinal Cord Ischemia Syndrome

Nedeltchev

Loher

Stepper

et al. 2004

Stroke

210

215

View full text Add to dashboard Cite

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“…The typical presentation of FCE, as exemplified by our case, often includes sudden onset of localized back pain associated with a suggestive story and mechanism. In thrombotic infarction, sudden pain is often absent and, if present, may have more of a radicular or girdle distribution (1,(8)(9)(10). In addition, the characteristic neurologic indicators of FCE often include a symptom-free interval and a progression in time that is not characteristic of a patient with a thrombotic infarction, many of whom often have numbness and weakness at onset (1,(8)(9)(10).…”

Section: Discussionmentioning

confidence: 98%

Presentation and Medical Management of Fibrocartilaginous Embolism in the Emergency Department

Jones

Watson

Heaton

2016

The Journal of Emergency Medicine

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“…The mechanism was thought to result from nerve root ischemia [19]. Neck pain that radiated to the shoulder or upper limbs was often seen in cervical hemicord infarction [20].…”

Section: Discussionmentioning

confidence: 99%

Spinal Cord Infarction in Chinese Patients

et al. 2008

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Background: The clinical presentations, MRI findings and outcomes for spinal cord infarction (SCI) are well documented in the West but scarce in the East. We investigated the clinical characteristics of SCI patients and further analyzed etiologies and prognostic factors in Chinese subjects. Methods: We reviewed all SCI patients from March 1993 to March 2007. Clinical symptoms, laboratory and imaging findings as well as outcomes were retrospectively analyzed. Results: Twenty-two patients (12 female) were identified; their mean age was 57.6 years. Nine patients (40.9%) had probable etiologies, while 13 were cryptogenic (59.1%). The primary etiologies were aortic diseases. Hypertension was the most common vascular risk factor (50%). Most patients (10/22 = 45.5%) had thoracolumbar lesions (mainly at T₉–L₁), while cervical lesions (9/22 = 40.9%) were the second most common (mainly at C₄–C₇). ‘Owl’s eyes’ signs were common with the anterior spinal artery (93.8%) and central cord infarctions (50%) but not in the posterior spinal artery or transverse spinal infarctions. After a mean follow-up of 18 months, only 10 patients (10/22 = 45%) had good outcomes (independent walking or walking with 1 aid). Conclusion: Most SCI patients had acute, monophasic symptoms, reaching nadir in <24 h. The subjects frequently had acute pain near their lesions before SCI signs/symptoms (16/22 = 72.7%). Initial severe weakness (Medical Research Council score ≤2) and a young age at onset (55 years old) are correlated with poor recovery of motor functions.

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Spontaneous thoracolumbar spinal cord infarction: report of six cases

Cited by 32 publications

References 11 publications

Long-Term Outcome of Acute Spinal Cord Ischemia Syndrome

Long-Term Outcome of Acute Spinal Cord Ischemia Syndrome

Presentation and Medical Management of Fibrocartilaginous Embolism in the Emergency Department

Spinal Cord Infarction in Chinese Patients

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