scholarly journals Spinal Cord Infarction is an Unusual Complication of Intracranial Neuroendovascular Intervention

2013 ◽  
Vol 19 (4) ◽  
pp. 500-505 ◽  
Author(s):  
Noriaki Matsubara ◽  
Shigeru Miyachi ◽  
Takeshi Okamaoto ◽  
Takashi Izumi ◽  
Takumi Asai ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Coil Embolization ◽  
Cranial Nerve ◽  
Cervical Spinal Cord ◽  
Posterior Circulation ◽  
Spinal Cord Infarction ◽  
Unusual Complication ◽  
Flow Restriction ◽  
Catheter Technique ◽  
Endovascular Coil Embolization

Spinal cord infarction is an unusual complication of intracranial neuroendovascular intervention. The authors report on two cases involving spinal cord infarction after endovascular coil embolization for large basilar-tip aneurysms. Each aneurysm was sufficiently embolized by the stent/balloon combination-assisted technique or double catheter technique. However, postoperatively, patients presented neurological symptoms without cranial nerve manifestation. MRI revealed multiple infarctions at the cervical spinal cord. In both cases, larger-sized guiding catheters were used for an adjunctive technique. Therefore, guiding catheters had been wedged in the vertebral artery (VA). The wedge of the VA and flow restriction may have caused thromboemboli and/or hemodynamic insufficiency of the spinal branches from the VA (radiculomedullary artery), resulting in spinal cord infarction. Spinal cord infarction should be taken into consideration as a complication of endovascular intervention for lesions of the posterior circulation.

scholarly journals Relationship between Focal Inflammation and Symptom Exacerbation after Endovascular Coil Embolization for Symptomatic Intracranial Aneurysms

2008 ◽  
Vol 14 (2) ◽  
pp. 179-184
Author(s):  
S. Suzuki ◽  
A. Kurata ◽  
K. Iwamoto ◽  
M. Yamada ◽  
J. Niki ◽  
...  
Keyword(s):  
Coil Embolization ◽  
Cranial Nerve ◽  
Anticoagulation Therapy ◽  
Unruptured Aneurysms ◽  
Anti Platelet Therapy ◽  
Symptom Exacerbation ◽  
Endovascular Coil Embolization ◽  
Inflammatory Drugs ◽  
Continuous Injection

As endovascular surgery (EVS) of symptomatic unruptured aneurysms can result in symptom exacerbation due to intra-aneurysmal thrombosis or lump formation by coils, this treatment remains controversial. We present five women ranging in age from 58 to 76 years (mean 65.6 years) who suffered post-EVS symptom exacerbation attributable to local inflammation. The aneurysms measured from 8 to 25 mm (mean 19 mm) and were located at the cavernous portion in four patients and at the origin of the ophthalmic artery in one. All underwent endosaccular embolization under local anesthesia. Immediately after embolization, 24 h anticoagulation therapy was started via the continuous injection of heparin; they also received anti-platelet therapy. At one to three days post-EVS, all five patients manifested worsening of their cranial nerve symptoms. In three other patients the symptoms were improved after EVS. We posit that inflammation induced by coil embolization may worsen cranial nerve symptoms transiently. Our findings suggest that post-EVS follow-up is necessary and that patients exhibiting an inflammatory reaction be treated with anti-inflammatory drugs.

Cervical spinal cord infarction after posterior fossa surgery: a case-based update

2009 ◽  
Vol 25 (12) ◽  
pp. 1541-1546 ◽  
Author(s):  
Juan F. Martínez-Lage ◽  
María-José Almagro ◽  
Virginia Izura ◽  
Cristina Serrano ◽  
Antonio M. Ruiz-Espejo ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Posterior Fossa ◽  
Cervical Spinal Cord ◽  
Spinal Cord Infarction ◽  
Posterior Fossa Surgery ◽  
Case Based

Cervical Spinal Cord Infarction after Surgery for a Pineal Region Choriocarcinoma in the Sitting Position: Case Report

Neurosurgery ◽  
1997 ◽  
Vol 40 (5) ◽  
pp. 1082-1086 ◽  
Author(s):  
Hisashi Nitta ◽  
Junkoh Yamashita ◽  
Motohiro Nomura ◽  
Noboru Igarashi
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Cervical Spinal Cord ◽  
Pineal Region ◽  
Spinal Cord Infarction ◽  
Sitting Position

Cervical Spinal Cord Infarction Simulating Myocardial Infarction

2002 ◽  
Vol 47 (3) ◽  
pp. 185-186 ◽  
Author(s):  
Onofre Combarros ◽  
Alfonso Vadillo ◽  
Raquel Gutiérrez-Pérez ◽  
José Berciano
Keyword(s):  
Myocardial Infarction ◽  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Spinal Cord Infarction

Spinal Cord Infarction in the Region of the Posterior Spinal Artery After Embolization for Vertebral Artery Dissection

2018 ◽  
Vol 15 (6) ◽  
pp. 701-710 ◽  
Author(s):  
Wataro Tsuruta ◽  
Tetsuya Yamamoto ◽  
Go Ikeda ◽  
Masayuki Sato ◽  
Yoshiro Ito ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Coil Embolization ◽  
Univariate Analysis ◽  
Posterior Inferior Cerebellar Artery ◽  
Vertebral Artery Dissection ◽  
Endovascular Surgery ◽  
Artery Dissection ◽  
Spinal Cord Infarction ◽  
Posterior Spinal Artery

AbstractBACKGROUNDEndovascular surgery for vertebral artery dissections (VADs) carries the risk of spinal cord infarction (SCI). Although SCI in the region of the anterior spinal artery (ASA) has been reported, SCI in the region of the posterior spinal artery (PSA) is rare.OBJECTIVETo investigate PSA infarction after endovascular surgery for VAD.METHODSInfarction in the region of the PSA after endovascular surgery for VADs carried out in consecutive 21 cases was investigated. The variables of aneurysmal location, status, intra-aneurysmal thrombosis, antithrombotic therapy, and endovascular procedure were investigated in relation to the occurrence of spinal cord or brain stem infarction.RESULTSThirteen cases were unruptured aneurysms, and 8, ruptured aneurysms. The endovascular surgical method was internal trapping in 10 cases, stent-assisted coil embolization in 8 cases, and proximal occlusion (PO) in 3 cases. Periprocedural symptomatic infarction was detected in 4 of the 21 cases (19%): 3 SCIs and 1 lower medulla infarction, after 1 stent-assisted coil embolization and 3 PO. All 3 symptomatic SCIs were PSA infarction. On univariate analysis, the variables of posterior inferior cerebellar artery-involved-type, PO, and intraprocedural proximal flow arrest were significantly correlated with occurrence of PSA infarction.CONCLUSIONPSA infarction after endovascular surgery for VAD seems not to be a rare potential complication. Insufficiency of collateral blood flow and artery-to-artery embolism due to intraprocedural flow stagnation of the VA seem to be the possible mechanisms of PSA infarction in addition to previously reported mechanisms such as direct obliteration by the embolic materials and extended thrombosis of the VA stump.

MRI of cervical spinal cord infarction in a patient with sickle cell disease

2012 ◽  
Vol 36 (5) ◽  
pp. 595-598 ◽  
Author(s):  
Juan Camilo Márquez ◽  
Ana María Granados ◽  
Mauricio Castillo
Keyword(s):  
Spinal Cord ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Cervical Spinal Cord ◽  
Spinal Cord Infarction ◽  
Cell Disease

scholarly journals Spinal cord infarction: a rare cause of admission to Internal Medicine Departments but a condition with relevant systemic complications

2013 ◽  
pp. 99-102
Author(s):  
Daniela Galimberti ◽  
Annamaria Casali ◽  
Dimitriy Arioli ◽  
Mauro Silingardi ◽  
Attilia Maria Pizzini ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Correct Diagnosis ◽  
The Elderly ◽  
Spinal Cord Infarction ◽  
Damage Site ◽  
Systemic Complications ◽  
Bladder Control ◽  
Severe Motor

BACKGROUND Spinal cord infarction is a rare cause of admission to Internal Medicine Departments as it is of infrequent occurrence and it is usually addressed to Neurologic Units. Diagnosis at admission however may be challenging expecially in the elderly because of several co-morbidities and variable presentation. Clinical course is often complicated by autonomic, infective and cardiovascular problems as well as a long stay-in-bed period. Outcome is poor in case of severe motor, autonomic (bladder and bowel) and sensitive impairment at presentation, it’s related to anatomic damage site and extension and it’s worse in case of anterior bilateral infarcts. CLINICAL CASE The authors describe the case of an 81- year-old woman who was admitted to an Internal Medicine Department because of cervical spinal cord infarction. The diagnostic evaluation as well as the management of cardiovascular, infective, rheumatologic and autonomic complications needed skillful internistic competence and a long in-hospital period. MR allowed a correct diagnosis a few hours after presentation, but the pathogenesis was never clearly established. The most invalidating symptoms were loss of bowel control lasting for several weeks during hospitalization and neuropathic pain still present at discharge. As for the outcome, the patient was able to go home after 3 months from admission able to walk with aids, with full bowel and bladder control and no sensitive impairment.

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