Hostname: page-component-6bf8c574d5-rwnhh Total loading time: 0 Render date: 2025-02-16T16:16:56.687Z Has data issue: false hasContentIssue false
  • English
  • Français

Anterior Spinal Artery Infarction at the Cervicomedullary Junction

Published online by Cambridge University Press:  02 December 2014

Teneille E. Gofton  and
Philip A. Barber
Teneille E. Gofton
Affiliation:
Department of Clinical Neurosciences, University of Western Ontario, London Health Sciences Centre, London, ON
Philip A. Barber*
Affiliation:
Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada
*
Foothills Medical Centre, Clinical Neurosciences, Room 162, 1403-29th Street N.W., Calgary, Alberta, T2N 2T9, Canada
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

An 81-year-old right handed man presented with bilateral leg weakness. The patient had been previously independent and was medicated with warfarin for atrial flutter. He had longstanding type 2 diabetes, controlled by oral hypoglycemic medication. At presentation, he reported sudden onset left sided weakness with accompanying neck pain at 22h00 the previous evening. Pertinent findings on neurological examination included a left pronator drift and profound left leg weakness with unsustained antigravity strength. Deep tendon reflexes were brisk throughout but absent at the ankles and there was a left extensor plantar response. Cranial nerve and sensory examinations were normal.

Type
Neuroimaging Highlight
Information
Canadian Journal of Neurological Sciences , Volume 33 , Issue 4 , November 2006 , pp. 418 - 420
Copyright
Copyright © The Canadian Journal of Neurological 2006

References

1. Foo, D. Anterior spinal artery syndrome and its natural history. Paraplegia. 1983;21:1–10.Google ScholarPubMed
2. Satran, R. Spinal cord infarction. Stroke. 1988;19:529–32.Google Scholar
3. Cheshire, WP, Santos, CC, Massey, EW, Howard, JF. Spinal cord infarction: etiology and outcome. Neurology. 1996;47:321–30.Google Scholar
4. Rovira, A, Pedraza, S, Comabella, M, Alvarez, J, Salgado, A. Magnetic resonance imaging of acute infarction of the anterior spinal cord. J Neurol Neurosurg Psychiatry. 1998;64:279–81.Google Scholar
5. Suzuki, K, Meguro, K, Wada, M, Nakai, K, Nose, T. Anterior spinal artery syndrome associated with severe stenosis of the vertebral artery. Am J Neuroradiol. 1998;19:1353–55.Google Scholar
6. Elknis, SM, Hogg, JP, Cunningham, ME. MR imaging of spontaneous spinal cord infarction. J Comput Assist Tomogr. 1991;15:228–32.CrossRefGoogle Scholar
7. Sagiuchi, T, Iida, H, Tachibana, S, Kusumi, M, Kan, S, Fujii, K. Diffusion-weighted MRI in anterior spinal artery stroke of the cervical spinal cord. J Comput Assist Tomogr. 2003;27:410–4.Google Scholar
8. Bradley, W, Daroff, R, Fenichel, G, Marsden, C. Neurology in clinical practice. 3rd ed. Butterworth-Heinemann. 2000, USA: 1225–30.Google Scholar
9. Haines, D. Neuroanatomy: an atlas of structures, sections and systems. 5th ed. Lippincott Williams and Wilkins; 2000: p.11.Google Scholar
10. Akar, ZC, Dujovny, M, Gomez-Tortosa, E, Slavin, KV, Ausman, JI. Microvascular anatomy of the anterior surface of the medulla oblongata and olive. J Neurosurg. 1995;82:97–105.Google Scholar
11. Rodriguez-Baeza, A, Muset-Lara, A, Rodriguez-Pazos, M, Domenech-Mateu, JM. Anterior spinal arteries. Origin and distribution in man. Acta Anat (Basel). 1989;136:217–21.CrossRefGoogle ScholarPubMed
12. Santos-Franco, JA, de Oliveira, E, Mercado, R, Ortiz-Velazquez, RI, Revuelta-Gutierrez, R, Gomez-Llata, S. Microsurgical considerations of the anterior spinal and the anterior ventral spinal arteries. Acta Neurochir (Wien). 2006;146:329–38.CrossRefGoogle Scholar