HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Lamin, S. Articles by Bhattacharya, J. J. Search for Related Content PubMed Articles by Lamin, S. Articles by Bhattacharya, J. J.

Vascular Anatomy of the Spinal Cord and Cord Ischaemia

Institute of Neurological Sciences, Southern General Hospital, Glasgow; Email: gcl232{at}clinmed.gla.ac.uk

EXTRACT

INTRODUCTION

Spinal cord infarction is an uncommon but important problem. Often it is a diagnosis of exclusion, having ruled out other causes of acute spinal symptoms such as multiple sclerosis, transverse myelitis, disc herniation, spinal canal stenosis, contusion, congestive myelopathy secondary to dural arteriovenous fistula and spinal tumours. In this article we discuss the important arterial anatomy of the spinal cord and use it to make sense of a case of spinal cord infarction.

CASE PRESENTATION

A 39-year-old woman was admitted with sudden onset of pain in the back and legs, accompanied by spasm and numbness, whilst in bed at night. On examination she had bilaterally spastic legs with profound ankle weakness, particularly on the right. Ankle reflexes were absent, while her plantar reflexes were mute. There was loss of pin-prick sensation in the S2/3 dermatomes, with loss of anal tone and reflexes. MRI examination on the day of admission ...

[PDF of this article]