A Review on the Pathophysiology and Management of Anterior Spinal Artery Syndrome

2020 ◽  
Author(s):  
Masum Rahman ◽  
Sajedur Rahman ◽  
Abu Bakar Siddik ◽  
Lucas Carlstrom ◽  
Juna Musa ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Blood Flow ◽  
Review Article ◽  
Anterior Spinal Artery ◽  
Spinal Cord Infarction ◽  
Mortality And Morbidity ◽  
Flow Disruption ◽  
Temperature Sensation ◽  
Anterior Spinal Artery Syndrome ◽  
Motor Paralysis

As an uncommon cause of spinal cord infarction, anterior spinal cord syndrome can manifest with motor paralysis, loss of pain, and temperature sensation distal to the site of the lesion. The main pathogenesis of this syndrome is the disruption of blood flow in the anterior spinal artery. Mortality and morbidity differ with the etiology of the syndrome. So knowing the etiology of blood flow disruption is essential for patient management. This review article highlights the important clinical manifestation of Anterior spinal artery syndrome. Also describes etiology, pathogenesis, diagnosis, prognosis, possible management, and complications.

scholarly journals Anterior Spinal Artery Syndrome as Complication of Bronchial Artery Embolization

2018 ◽  
Vol 13 (4) ◽  
pp. e25-e27
Author(s):  
Ka Hong (Casey) Chan ◽  
Chris White ◽  
Jason K Wong
Keyword(s):  
Spinal Cord ◽  
Bronchial Artery ◽  
Anterior Spinal Artery ◽  
Spinal Cord Infarction ◽  
Massive Hemoptysis ◽  
Bronchial Artery Embolization ◽  
Potential Complication ◽  
Artery Embolization ◽  
Anterior Spinal Artery Syndrome

Bronchial artery embolization (BAE) has risen as one of the cornerstones of massive hemoptysis management. Though rare, spinal cord infarction is a potential complication. Here, we present a case of a 65 year old gentleman who presented with acute weakness and was diagnosed with spinal cord infarction following BAE. This case will also review the pathophysiology of this adverse complication.

Paraplegia following thoracolumbar sympathectomy

1971 ◽  
Vol 34 (4) ◽  
pp. 569-571 ◽  
Author(s):  
Ronald F. Shallat ◽  
Thomas E. Klump
Keyword(s):  
Spinal Cord ◽  
Anterior Spinal Artery ◽  
Intercostal Artery ◽  
Spinal Cord Infarction ◽  
Content Type ◽  
Fine Print

✓ A case is presented in which a bilateral thoracolumbar sympathectomy and splanchnicectomy were followed by permanent paraplegia below T-10. The hypothesis is presented that coagulation of a bleeding intercostal vessel during surgery led to a propagating thrombus which involved, successively, the intercostal artery, a segmental medullary vessel, and the anterior spinal artery with resulting spinal cord infarction. Other possible mechanisms are mentioned. Several technical suggestions are offered with regard to prevention of this complication.

Spinal cord infarction caused by cartilage embolus to the anterior spinal artery

1992 ◽  
Vol 37 (6) ◽  
pp. 448-452 ◽  
Author(s):  
David F. Moorhouse ◽  
Maureen Burke ◽  
Catherine Keohane ◽  
Michael A. Farrell
Keyword(s):  
Spinal Cord ◽  
Anterior Spinal Artery ◽  
Spinal Cord Infarction

MRI of spinal cord and vertebral body infarction in the anterior spinal artery syndrome

1996 ◽  
Vol 38 (2) ◽  
pp. 161-162 ◽  
Author(s):  
M. C. Haddad ◽  
M. Y. Aabed Al-Thagafi ◽  
H. Djurberg
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Anterior Spinal Artery ◽  
Anterior Spinal Artery Syndrome

MRI of spinal cord and vertebral body infarction in the anterior spinal artery syndrome

1996 ◽  
Vol 38 (2) ◽  
pp. 161-162 ◽  
Author(s):  
M. C. Haddad ◽  
M. Y. Aabed Al-Thagafi ◽  
H. Djurberg
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Anterior Spinal Artery ◽  
Anterior Spinal Artery Syndrome

scholarly journals Postoperative Paraplegia Coincident with Single Shot Spinal Anaesthesia

2007 ◽  
Vol 35 (4) ◽  
pp. 605-607 ◽  
Author(s):  
B. W. Laferlita
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Magnetic Resonance ◽  
Spinal Anaesthesia ◽  
Spinal Cord Infarction ◽  
Single Shot ◽  
Resonance Imaging ◽  
Anterior Spinal Artery Syndrome ◽  
Magnetic Resonance Imaging Evidence ◽  
Neurologic Function

Paraplegia is a rare but serious complication of spinal anaesthesia. We report an 83-year-old patient who developed anterior spinal artery syndrome resulting in paraplegia some 24 hours after undergoing spinal anaesthesia for a Moore's hemiarthroplasty. Return of neurologic function was documented prior to the onset of paralysis, with magnetic resonance imaging evidence suggestive of spinal cord infarction.

scholarly journals Progressive Tetraparesis in a 57-Year-Old Man With Congenital Absence of an Anterior Spinal Artery: A Case of Anterior Spinal Cord Infarction

2020 ◽  
Vol 10 (4) ◽  
pp. 305-308
Author(s):  
Chindhuri Selvadurai ◽  
Andrew Silverman ◽  
Christopher Traner ◽  
Reshma Narula ◽  
Joseph Schindler
Keyword(s):  
Spinal Cord ◽  
Hemodynamic Instability ◽  
Anterior Spinal Artery ◽  
Spinal Cord Infarction ◽  
Collateral Flow ◽  
Resonance Imaging ◽  
Lower Extremity Weakness ◽  
Acute Presentation ◽  
Blood Pressures ◽  
Variant Anatomy

A 57-year-old man presented with sudden neck pain radiating down his arms. This pain progressed to bilateral upper and subsequently lower extremity weakness and numbness. His vitals were notable for systolic blood pressures lower than his baseline (down to 90 mm Hg). The patient’s neurological examination as well as magnetic resonance imaging of the cervical and thoracic spine localized to a lesion in the anterior spinal cord. The differential diagnosis for such an acute presentation included stroke, demyelination, intramedullary neoplasm, infection, metabolic myelopathy, and a dural arteriovenous fistula. Further imaging with angiography demonstrated that our patient lacked an anterior spinal artery. In its place, collateral flow from cervical artery branches provided sustenance to the anterior spinal cord. In the setting of hemodynamic instability, this variant anatomy likely predisposed the patient to ischemia, leading to the classic presentation of anterior cord syndrome.

Fatal spinal cord infarction caused by fibrocartilaginous embolization of the anterior spinal artery

1980 ◽  
Vol 11 (5) ◽  
pp. 471-475 ◽  
Author(s):  
Khang-Loon Ho ◽  
Jay M. Gorell ◽  
Molly Tan Hayden
Keyword(s):  
Spinal Cord ◽  
Anterior Spinal Artery ◽  
Spinal Cord Infarction
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