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Long-segment spinal cord infarction complicated with multiple cerebral infarctions: a case report
Weifang Xing1, Wensheng Zhang2, Guozhong Ma2
1Department of Neurology, Heyuan People's Hospital, Guangdong Provincial People's Hospital Heyuan Hospital, Heyuan, 517000, Guangdong Province, China. 852705966@qq.com.
BMC Neurology
|September 22, 2022
Summary
A rare case of extensive spinal cord infarction complicated by multiple brain infarctions is presented. This unique neurological event highlights the potential for severe vascular complications affecting both the spinal cord and brain.
Area of Science:
- Neurology
- Vascular Neurology
Background:
- Spinal cord infarction (SCI) is a rare but severe neurological emergency, accounting for 1-2% of all such events.
- It is significantly less common than ischemic brain injury.
Observation:
- A 65-year-old male presented with sudden chest, back, and upper limb pain, followed by lower limb weakness and sensory loss.
- Symptoms progressed to inability to walk, indicative of significant neurological deficit.
Findings:
- The patient experienced a long-segment spinal cord infarction spanning from C7 to T6 vertebrae, consistent with anterior spinal artery syndrome.
- Magnetic resonance imaging (MRI) revealed characteristic 'owl's eye' signal changes in the spinal cord.
- The case was further complicated by multiple cerebral infarctions, a combination not previously reported.
Implications:
- This case underscores that extensive spinal cord infarction can occur alongside cerebral infarctions.
- Further research into the specific etiology of such complex vascular events is warranted.
