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Anterior spinal artery infarction

T J Gaeta1, G A LaPolla, J R Balentine

  • 1Department of Emergency Medicine, Lincoln Hospital, Bronx, New York, USA.

Annals of Emergency Medicine
|July 1, 1995
PubMed
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Spinal cord infarction causing acute paraplegia is rare, especially in healthy individuals without vascular disease risk factors. This case highlights anterior spinal artery syndrome in an otherwise healthy woman.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Spinal Cord Medicine

Background:

  • Spinal cord ischemia leading to acute paraplegia is uncommon without preceding trauma.
  • Vascular events affecting the spinal cord, particularly infarction, are rare in patients lacking predisposing conditions.

Observation:

  • A 45-year-old woman with no history of vascular disease presented with symptoms suggestive of spinal cord dysfunction.
  • The patient was otherwise healthy, with no identifiable risk factors for cerebrovascular or peripheral vascular disease.

Findings:

  • The case involved an infarction of the anterior aspect of the spinal cord.
  • This infarction led to the clinical presentation of anterior spinal artery syndrome.

Implications:

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  • This case expands the understanding of non-traumatic spinal cord infarction.
  • It underscores the importance of considering vascular etiologies even in young, healthy individuals presenting with acute neurological deficits.
  • Further research into the specific mechanisms of spinal cord infarction in the absence of risk factors is warranted.