Spontaneous Spinal Cord Infarction Presenting as Chest Pain: A Case Report

A 66-year-old woman with a history of hypertension presented to the emergency department with sudden-onset middle anterior chest pain. Initial evaluations, including general examination, electrocardiography, and contrast-enhanced computed tomography (CT), did not reveal the cause. However, on subsequent physical examination, mild weakness in the right lower limb was noted, which prompted MRI and ultimately led to the diagnosis of spinal cord infarction (SCI). Diagnosing SCI is often challenging, but, in this case, careful clinical examination was key. This case underscores the importance of repeated and thorough clinical assessments. Although no established treatment exists, underdiagnosis may be one reason. Accurate identification of SCI can improve understanding of its pathophysiology and help guide the development of effective therapies.