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MRI in presumed cervical anterior spinal artery territory infarcts
1Department of Diagnostic Radiology, Asan Medical Centre, University of Ulsan College of Medicine, Seoul, Korea.
Abstract:
We report the MRI findings in two patients with presumed cervical spinal cord infarcts in the anterior spinal artery territory. MRI revealed abnormal signal intensities and/or band-like enhancement in the anterior two-thirds of the cervical spinal cord, corresponding to the vascular territory of the anterior spinal artery. Clinically there was an anterior spinal cord syndrome.
Insights
Two patients with cervical spinal cord infarcts showed specific MRI findings in the anterior spinal artery territory. These magnetic resonance imaging results correlated with clinical signs of anterior spinal cord syndrome.
Area of Science:
- Neurology
- Radiology
- Vascular Neurology
Background:
- Cervical spinal cord infarcts are rare neurological events.
- The anterior spinal artery territory is particularly vulnerable to ischemic damage.
- Anterior spinal cord syndrome presents with distinct clinical deficits.
Observation:
- Two patients presented with suspected cervical spinal cord infarcts.
- Clinical presentation suggested anterior spinal cord syndrome.
Findings:
- MRI revealed abnormal signal intensities in the anterior cervical spinal cord.
- Band-like enhancement was observed in the affected spinal cord segments.
- These MRI findings localized to the anterior spinal artery territory.
Implications:
- MRI is crucial for diagnosing cervical spinal cord infarcts.
- Understanding these imaging patterns aids in differentiating infarcts from other spinal cord pathologies.
- Early diagnosis and recognition of anterior spinal artery territory infarcts are vital for patient management.