title: Anterior spinal cord infarction owing to possible fibrocartilaginous embolism.
abstract: Anterior spinal artery syndrome is characterised by acute flaccid quadriparesis or paraparesis, disturbance of pain and temperature sensation, and loss of sphincter control. Fibrocartilaginous embolism is a rarely recognised, but important cause of spinal cord infarction. Fibrocartilaginous embolisation usually occurs after minor trauma without major bony lesions, typically with an intervening symptom-free interval and progressive 'stroke-in-evolution' course. There is evidence that the embolus originates from the intervertebral disc, but the mechanism whereby disc fragments enter the spinal vessels is not well understood. We describe the evolution of MRI findings in a case of anterior spinal artery territory infarction thought to be secondary to fibrocartilaginous embolism.
authors.affiliation: Department of Medical Imaging, The Children's Hospital at Westmead, 2145, Sydney, Australia.
authors.forename: Ashok
authors.initials: A
authors.lastname: Raghavan
authors.forename: Ella
authors.initials: E
authors.lastname: Onikul
authors.forename: Monique M
authors.initials: MM
authors.lastname: Ryan
authors.forename: Kristina
authors.initials: K
authors.lastname: Prelog
authors.forename: Ajay
authors.initials: A
authors.lastname: Taranath
authors.forename: Murthy
authors.initials: M
authors.lastname: Chennapragada
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002356:Cartilage; D003937:Diagnosis, Differential; D004617:Embolism / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D011782:Quadriplegia / Q000209:etiology*; D013116:Spinal Cord / Q000098:blood supply*; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000209:etiology