scholarly journals Cervical Spinal Cord Infarction Presenting as Chest Pain in Patients with Acute Cerebellar Infarction

2020 ◽  
Vol 38 (1) ◽  
pp. 42-45
Author(s):  
Yong-Won Kim ◽  
Yang-Ha Hwang
Keyword(s):  
Spinal Cord ◽  
Chest Pain ◽  
Vertebral Artery ◽  
Cervical Spinal Cord ◽  
Artery Occlusion ◽  
Cervical Cord ◽  
Spinal Cord Infarction ◽  
Cerebellar Infarction ◽  
Posterior Spinal Artery ◽  
Lumbar Level

Spinal cord infarction is rare, especially cervical cord infarction is lesser than thoracic and lumbar level. We describe two cases of cervical cord infarction following cerebellar infarction with vertebral artery occlusion, which initially presented with chest pain and dyspnea. Blood supply for the cervical cord comes from anterior and posterior spinal artery, which originated from the distal vertebral or posterior inferior cerebellar arteries. Therefore, occlusion of unilateral vertebral artery could cause a cervical cord infarction.

Abstract 1122‐000032: Spinal Cord Infarction a Young Patient with a Hypoplastic Vertebral Artery

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Ammar Jum'ah ◽  
Hassan Aboul Nour ◽  
Daniel Miller
Keyword(s):  
Risk Factors ◽  
Spinal Cord ◽  
Vertebral Artery ◽  
Cervical Spinal Cord ◽  
Vertebral Artery Dissection ◽  
Vascular Risk Factors ◽  
Cervical Cord ◽  
Artery Dissection ◽  
Spinal Cord Infarction ◽  
Vascular Risk

Introduction : Rare presentation of disease processes is absolutely intriguing to the human mind. Spinal cord infarction is abundantly reported to be secondary to cardiological procedures, patients carrying multiple vascular risk factors and vertebral artery dissections. But for it to happen in a patient who is young, relatively healthy and without vascular risk factors is quite interesting. Herein, we present the case of a patient presented with bilateral upper extremity weakness, who has a hypoplastic right vertebral artery that has coincided with him being a professional gamer with exerting compression from video‐gaming posturing of “forward leaning with neck hyperextension”, resulting in cervical spinal cord infarction. Methods : Case report Results : Vertebral artery dissection was excluded by CTA and MRA. our hypothesis was that the patient is a professional gamer and his posture of leaning forward and neck hyper‐extension had a role in inducing his spinal cord infarction given the fact of him having a hypoplastic right vertebral artery. Conclusions : Vertebral artery disease is a well‐recognized cause of ischemia in the posterior cerebral circulation. Recently, however, cervical cord infarction, albeit being extremely rare, has been increasingly reported as a complication of vertebral artery diseases such as dissection. Awareness must be raised that such condition can also happen in the young population due to compression of the vertebral arteries, especially when one is hypoplastic.

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.

scholarly journals Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Kareem Elzamly ◽  
Christa Nobleza ◽  
Ellen Parker ◽  
Rebecca Sugg
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Vertebral Artery ◽  
Cervical Spinal Cord ◽  
Clinical Signs ◽  
Substantial Improvement ◽  
Spinal Cord Infarction ◽  
Adequate Understanding ◽  
Upper Cervical ◽  
Sensory Changes

Context. We describe a case of unilateral posterior upper cervical spinal cord infarction and propose a pathophysiologic mechanism causing this lesion after vertebral artery endovascular intervention. Findings. A 70-year-old male presented with subacute onset of left hemibody sensory changes and gait instability following a left vertebral angioplasty procedure. MRI cervical spine revealed upper posterior cervical spinal cord infarction (PSCI). After 3 months patient had substantial improvement of his symptoms. Conclusion. PSCI is rare but can present as a complication from vertebral artery angioplasty procedure. Early diagnosis of PSCI can be achieved with adequate understanding of its clinical signs and the blood supply of the spinal cord.

Spinal Cord Ischemia due to Vertebral Artery Dissection

2005 ◽  
Vol 18 (3) ◽  
pp. 390-394
Author(s):  
M. Bergui ◽  
G. Ventilii ◽  
F.M. Ferrio ◽  
D.R. Daniele ◽  
G.B. Bradač
Keyword(s):  
Spinal Cord ◽  
Differential Diagnosis ◽  
Vertebral Artery ◽  
Grey Matter ◽  
Spinal Cord Ischemia ◽  
Vertebral Artery Dissection ◽  
Cervical Cord ◽  
Artery Dissection ◽  
Spinal Cord Infarction ◽  
Central Regions

We reviewed clinical and neuroradiological findings in 37 consecutive patients with cervical cord infarction due to vertebral artery dissection diagnosed at our institution from 1996 to 2004. Four patients had clinical and neuroradiological findings consistent with spinal cord ischemia. Three patients had “pencil-like” infarction at C3-C5 level; one patient had an infarction of the anterior horns of the spinal grey matter at C3-C4 level. Symptoms were crural sensory deficit with mild tetraparesis and proximal strength deficit of the arms, respectively. Spinal cord infarction complicated vertebral artery dissection in about 10% of patients of our series. Infarctions involved the most central regions of the spinal cord, with relative sparing of the peripheral white matter tracts. Clinical and MRI pictures were almost typical, and consistent with a hemodynamic mechanism for the lesions. Vertebral artery dissection must be considered in the differential diagnosis in patients with cervical cord infarction.

scholarly journals Sulcal artery syndrome presenting as an incomplete Brown–Sequard syndrome – Report of an unusual case and review of the literature

2020 ◽  
Vol 29 (1) ◽  
pp. 59-63
Author(s):  
May Myat Win ◽  
Monica Saini ◽  
Shrikant Digambarrao Pande ◽  
Kappaganthu Venkatesh Prasanna
Keyword(s):  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Vertebral Artery Dissection ◽  
Artery Occlusion ◽  
Sudden Onset ◽  
Artery Dissection ◽  
Spinal Cord Infarction ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Brown Sequard Syndrome

Sulcal arteries perfuse the anterior two-thirds of the spinal cord, and spinal cord infarction as a result of sulcal artery occlusion is rare. Most reported cases are associated with vertebral artery dissection, and commonly involve the cervical spinal cord. A 74-year-old man presented with sudden onset weakness and numbness after a brief bout of abdominal pain. Further investigations concluded that this was sulcal artery syndrome. We report a case of sulcal artery syndrome affecting the thoracic spinal cord presenting as Brown–Sequard syndrome. Sulcal artery syndrome usually has good prognoses, unlike anterior spinal artery infarction.

scholarly journals A case of cerebellar and spinal cord infarction presenting with acute brachial diplegia due to right vertebral artery occlusion

2012 ◽  
Vol 52 (6) ◽  
pp. 425-428
Author(s):  
Takayuki Fujii ◽  
Yo Santa ◽  
Noriko Akutagawa ◽  
Sukehisa Nagano ◽  
Takeo Yoshimura
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Artery Occlusion ◽  
Spinal Cord Infarction ◽  
Vertebral Artery Occlusion ◽  
Brachial Diplegia

scholarly journals Unilateral non traumatic vertebral artery dissection with cervical spinal cord infarction

2012 ◽  
Vol 70 (2) ◽  
pp. 162-162 ◽  
Author(s):  
Patricia Gushiken Takahashi ◽  
Rubens Gisbert Cury ◽  
Camila Galvão Lopes ◽  
Mateus Mistieri Simabukuro ◽  
Paulo Eurípedes Marchiori
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Cervical Spinal Cord ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Spinal Cord Infarction

scholarly journals Angiographic Findings and Clinical Significance of the Anterior and Posterior Spinal Arteries in Therapeutic Parent Artery Occlusion for Vertebral Artery Aneurysms

2000 ◽  
Vol 6 (4) ◽  
pp. 299-309 ◽  
Author(s):  
T. Iwai ◽  
I. Naito ◽  
H. Shimaguchi ◽  
T. Suzuki ◽  
S. Tomizawa
Keyword(s):  
Vertebral Artery ◽  
Cervical Spinal Cord ◽  
Artery Occlusion ◽  
Spinal Cord Infarction ◽  
Parent Artery ◽  
Parent Artery Occlusion ◽  
Upper Cervical ◽  
Ischemic Complications ◽  
Posterior Spinal Arteries ◽  
Perforating Arteries

Three of 16 patients with vertebral artery (VA) aneurysms treated by parent artery occlusion suffered ischemic complications. The cause of the ischemic complications was brain stem or upper cervical spinal cord infarction due to occlusion of the anterior spinal artery (ASA), posterior spinal artery (PSA) and perforating arteries arising from the VA. Angiographic detection of ASA and PSA was studied in 71 consecutive patients (142 VAs) with various diseases who underwent digital subtraction angiography. The ASA and PSA originated from the bilateral VAs in 14% and 9%, unilateral VA in 73% and 35%, and were not detected in 13% and 56%, respectively. These results indicate that the rate of angiographic detection of the ASA originating from the bilateral VAs is considerably lower than that of previously reported anatomical studies. Special attention must be paid to the ASA, PSA and perforating arteries on preoperative vertebral angiography to prevent ischemic complications associated with therapeutic parent artery occlusion for VA aneurysms.

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