title: Relationship Between Regional Atherosclerosis and Adjacent Spinal Cord Histology.
abstract: BACKGROUND
  Scant data are available regarding ischemic insult to the spinal cord and the responsible blood supply. Therefore, we aimed to investigate a correlation between atherosclerosis of adjacent vessels and spinal cord ischemia.
  
  
  METHODS
  In 20 unembalmed adult cadavers, samples of the vertebral arteries and aorta were removed and the degree of atherosclerosis with subsequent luminal occlusion was histologically analyzed. Next, adjacent segments of the spinal cord were harvested and submitted for immunohistological analysis of both neural and glial elements and blood supply.
  
  
  RESULTS
  We identified proximal atherosclerosis in the majority of cadavers but with varying degrees of luminal occlusion. The greatest degree of luminal occlusion was found in the descending abdominal aorta. No specimen was found to have atherosclerosis of the anterior or posterior spinal or radicular arteries. No spinal cord histology showed signs of ischemia, even in specimens with a significant large parent vessel (vertebral artery and aorta) occlusion due to atherosclerosis. Neuropathology of these adjacent cord segments revealed no signs of ischemia or demyelination.
  
  
  CONCLUSIONS
  Spinal cord ischemia is often misdiagnosed and can cause significant neurological compromise. However, based on our study, the degree of atherosclerosis of the adjacent parent vessel supply does not appear to be  a predictor of neuronal and glial tissue damage of the adjacent spinal cord.
authors.affiliation: Neurosurgery, Seattle Science Foundation.
authors.forename: R Shane
authors.initials: RS
authors.lastname: Tubbs
authors.affiliation: Seattle Science Foundation.
authors.forename: Matthew C
authors.initials: MC
authors.lastname: Blouir
authors.affiliation: Department of Anatomy, AIIMS, Virbhadra Marg, Pashulok, Rishikesh.
authors.forename: Rajani
authors.initials: R
authors.lastname: Singh
authors.affiliation: Department of Anatomy, Mayo Clinic.
authors.forename: Nirusha
authors.initials: N
authors.lastname: Lachman
authors.affiliation: Department of Pathobiology, The Sophie Davis School of Biomedical Education.
authors.forename: Anthony V
authors.initials: AV
authors.lastname: D'Antoni
authors.affiliation: Department of Anatomy, St. George's University.
authors.forename: Marios
authors.initials: M
authors.lastname: Loukas
authors.affiliation: Department of Pathology and Laboratory Medicine, Indiana University.
authors.forename: Eyas
authors.initials: E
authors.lastname: Hattab
authors.affiliation: Department of Neurosurgery, Swedish Neuroscience Institute.
authors.forename: Rod J
authors.initials: RJ
authors.lastname: Oskouian
keywords: anatomy; arteries; atherosclerosis; blood supply; neurons; plaque disease; spinal cord