Spinal cord infarction with multiple etiologic factors

John J. Millichap*, Bernard T. Sy, Rodney O. Leacock

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Spinal cord infarction is uncommon and usually presents with sudden onset of paralysis and sensory disturbances. A variety of causes are described, but rarely with multiple factors involved. We report a case of a 63-year-old man with a history of diabetes mellitus, hypertension, and osteoarthritis who presented with acute onset of chest pain, numbness, and weakness associated with episodic hypotension. He had incomplete tetraplegia and was areflexic without spasticity. Pain and temperature sensations were impaired below the C7 dermatome and absent below the T4 dermatome bilaterally. Proprioception and vibration sensations were diminished on the right below the C6 dermatome. Magnetic resonance imaging showed spinal cord infarction affecting C6-T3 segments, and severe cervical and lumbar spine degenerative changes. This case illustrates an unusual presenting symptom of spinal infarction, the need to identify multiple risk factors for spinal cord infarction, and the importance of optimal preventive therapy in patients at risk.

Original languageEnglish (US)
Pages (from-to)151-154
Number of pages4
JournalJournal of general internal medicine
Volume22
Issue number1
DOIs
StatePublished - Jan 2007

Keywords

  • Anterior spinal artery
  • Preventive medicine
  • Spinal cord infarction

ASJC Scopus subject areas

  • Internal Medicine

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