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Spinal Cord Infarction
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Spinal cord infarction (SCI)
              • Anterior spinal artery (ASA)
            • Synonyms

              • Spinal cord ischemia
            • Definitions

              • Cord infarction 2° to vessel occlusion (radicular artery)

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Reisner A et al: Spinal cord infarction following minor trauma in children: fibrocartilaginous embolism as a putative cause. J Neurosurg Pediatr. 11(4):445-50, 2013
                                        2. Rubin MN et al: Vascular diseases of the spinal cord. Neurol Clin. 31(1):153-81, 2013
                                        3. Cheng MY et al: Concomitant spinal cord and vertebral body infarction is highly associated with aortic pathology: a clinical and magnetic resonance imaging study. J Neurol. 256(9):1418-26, 2009
                                        4. Lyders EM et al: A Case of Spinal Cord Infarction Following Lumbar Transforaminal Epidural Steroid Injection: MR Imaging and Angiographic Findings. AJNR Am J Neuroradiol. Epub ahead of print, 2009
                                        5. Malhotra G et al: Complications of transforaminal cervical epidural steroid injections. Spine (Phila Pa 1976). 34(7):731-9, 2009
                                        6. Mommertz G et al: Brain and spinal cord protection during simultaneous aortic arch and thoracoabdominal aneurysm repair. J Vasc Surg. 49(4):886-92, 2009
                                        7. Thurnher MM et al: Diffusion-weighted imaging, diffusion-tensor imaging, and fiber tractography of the spinal cord. Magn Reson Imaging Clin N Am. 17(2):225-44, 2009
                                        8. Yin W et al: Retrograde filling of a thoracic spinal artery during transforaminal injection. Pain Med. 10(4):689-92, 2009
                                        9. Hobai IA et al: Perioperative spinal cord infarction in nonaortic surgery: report of three cases and review of the literature. J Clin Anesth. 20(4):307-12, 2008
                                        10. Uotani K et al: Preoperative visualization of the artery of Adamkiewicz by intra-arterial CT angiography. AJNR Am J Neuroradiol. 29(2):314-8, 2008
                                        11. Nance JR et al: Ischemic spinal cord infarction in children without vertebral fracture. Pediatr Neurol. 36(4):209-16, 2007
                                        12. Masson C et al: Spinal cord infarction: clinical and magnetic resonance imaging findings and short term outcome. J Neurol Neurosurg Psychiatry. 75(10):1431-5, 2004
                                        13. Weidauer S et al: Spinal cord infarction: MR imaging and clinical features in 16 cases. Neuroradiology. 44(10): 851-7, 2002
                                        14. Di Lazzaro V et al: Ischaemic myelopathy associated with cocaine: clinical, neurophysiological, and neuroradiological features. J Neurol Neurosurg Psychiatry. 63(4):531-3, 1997
                                        15. Cheshire WP et al: Spinal cord infarction: etiology and outcome. Neurology. 47(2): 321-30, 1996
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Spinal cord infarction (SCI)
                                                    • Anterior spinal artery (ASA)
                                                  • Synonyms

                                                    • Spinal cord ischemia
                                                  • Definitions

                                                    • Cord infarction 2° to vessel occlusion (radicular artery)

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Reisner A et al: Spinal cord infarction following minor trauma in children: fibrocartilaginous embolism as a putative cause. J Neurosurg Pediatr. 11(4):445-50, 2013
                                                                              2. Rubin MN et al: Vascular diseases of the spinal cord. Neurol Clin. 31(1):153-81, 2013
                                                                              3. Cheng MY et al: Concomitant spinal cord and vertebral body infarction is highly associated with aortic pathology: a clinical and magnetic resonance imaging study. J Neurol. 256(9):1418-26, 2009
                                                                              4. Lyders EM et al: A Case of Spinal Cord Infarction Following Lumbar Transforaminal Epidural Steroid Injection: MR Imaging and Angiographic Findings. AJNR Am J Neuroradiol. Epub ahead of print, 2009
                                                                              5. Malhotra G et al: Complications of transforaminal cervical epidural steroid injections. Spine (Phila Pa 1976). 34(7):731-9, 2009
                                                                              6. Mommertz G et al: Brain and spinal cord protection during simultaneous aortic arch and thoracoabdominal aneurysm repair. J Vasc Surg. 49(4):886-92, 2009
                                                                              7. Thurnher MM et al: Diffusion-weighted imaging, diffusion-tensor imaging, and fiber tractography of the spinal cord. Magn Reson Imaging Clin N Am. 17(2):225-44, 2009
                                                                              8. Yin W et al: Retrograde filling of a thoracic spinal artery during transforaminal injection. Pain Med. 10(4):689-92, 2009
                                                                              9. Hobai IA et al: Perioperative spinal cord infarction in nonaortic surgery: report of three cases and review of the literature. J Clin Anesth. 20(4):307-12, 2008
                                                                              10. Uotani K et al: Preoperative visualization of the artery of Adamkiewicz by intra-arterial CT angiography. AJNR Am J Neuroradiol. 29(2):314-8, 2008
                                                                              11. Nance JR et al: Ischemic spinal cord infarction in children without vertebral fracture. Pediatr Neurol. 36(4):209-16, 2007
                                                                              12. Masson C et al: Spinal cord infarction: clinical and magnetic resonance imaging findings and short term outcome. J Neurol Neurosurg Psychiatry. 75(10):1431-5, 2004
                                                                              13. Weidauer S et al: Spinal cord infarction: MR imaging and clinical features in 16 cases. Neuroradiology. 44(10): 851-7, 2002
                                                                              14. Di Lazzaro V et al: Ischaemic myelopathy associated with cocaine: clinical, neurophysiological, and neuroradiological features. J Neurol Neurosurg Psychiatry. 63(4):531-3, 1997
                                                                              15. Cheshire WP et al: Spinal cord infarction: etiology and outcome. Neurology. 47(2): 321-30, 1996