Spinal Cord Infarction: Clinical and Radiological Features
Section snippets
Methods
This retrospective observational study was performed at a tertiary referral center in southern India. Patients who presented to our institute with signs and symptoms of SCI over a period of 4 years (March 2013 to March 2017) were included.
Results
There were 11 male and 6 female patients, age ranging from 12 years to 87 years (mean age 32.6 years). Symptom onset to peak time ranged from few minutes to 48 hours. The clinical symptoms are summarized in Table 1. There were 16 patients with ASA infarct and 1 patient with PSA infarct. All 16 patients with ASA infarct presented dissociative anesthesia (n = 16, 100%), and weakness of limbs (n = 16, 100%) upper/lower was noted depending on the level of lesion in the cord. Back pain and neck pain
Discussion
Spinal cord has an intricate network of blood supply. Various texts and articles describe the anatomy in exquisite details.11, 12, 13, 14, 15
Patients with SCI develop symptoms quickly with maximal symptomatology reached within 12 hours for 50% of patients and within 72 hours for most patients.16 The symptom onset to peak time ranged from few minutes to 48 hours in our study. All 16 patients with ASA infarct in our study presented with dissociative anesthesia and weakness of upper limbs/lower
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