Spontaneous thoracolumbar spinal cord infarction: report of six cases.
We present a retrospective study of 6 patients with spinal cord infarction in the territory of the Adamkiewicz artery. In all patients, the clinical picture was stereotyped: sudden onset of paraplegia and bilateral radicular pain, dissociated sensory loss below the level of infarction and sphincter dysfunction. Emergency neuroradiological investigation ruled out a compressive lesion in all cases. In one patient, spinal angiography was performed and identified an occlusion of the Adamkiewicz artery. Treatment was supportive and all patients had a substantial recovery over a period of weeks.
Monteiro
L
L
Department of Neurology, Hospital Geral de Santo António, Porto, Portugal.
Leite
I
I
Pinto
J A
JA
Stocker
A
A
D000368:Aged; D000792:Angiography; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D009410:Nerve Degeneration / Q000502:physiology; D009460:Neurologic Examination; D013116:Spinal Cord / Q000098:blood supply*; D014057:Tomography, X-Ray Computed