scholarly journals Spinal Cord Infarction after Successful Coil Embolization of Recurrent Basilar Bifurcation Aneurysm: A Case Report

2018 ◽  
Vol 12 (8) ◽  
pp. 398-403
Author(s):  
Hirofumi Iwahashi ◽  
Atsushi Fujita ◽  
Hirotomo Tanaka ◽  
Mitsuru Ikeda ◽  
Masashi Morikawa ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Coil Embolization ◽  
Spinal Cord Infarction ◽  
Bifurcation Aneurysm

EXTENSIVE SPINAL CORD INFARCTION AFTER POSTERIOR FOSSA SURGERY IN THE SITTING POSITION: CASE REPORT

Neurosurgery ◽  
2004 ◽  
Vol 54 (6) ◽  
pp. 1512-1516 ◽  
Author(s):  
Xavier Morandi ◽  
Laurent Riffaud ◽  
Seyed F.A. Amlashi ◽  
Gilles Brassier
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Posterior Fossa ◽  
Spinal Cord Infarction ◽  
Posterior Fossa Surgery ◽  
Sitting Position

scholarly journals Myelopathy in sickle cell disease: a case-oriented review

2021 ◽  
Author(s):  
Igor Vilela Brum ◽  
Guilherme Diogo Silva ◽  
Diego Sant'Ana Sodre ◽  
Felipe Melo Nogueira ◽  
Samira Luisa dos Apostolos Pereira ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Case Reports ◽  
Spinal Cord Infarction ◽  
Sensory Level ◽  
Cell Disease ◽  
Hematopoietic Tissue ◽  
First Case

Background: Although neurological complications are well recognized in sickle cell disease (SCD), myelopathy has been rarely described. We present the first case report of longitudinally extensive myelitis (LETM) in SCD and review the differential diagnosis of myelopathy in these patients. Design and setting: case-oriented review. Methods: We report the case of a 29-year-old African-Brazilian man with SCD, who experienced a subacute flaccid paraparesis, with T2 sensory level and urinary retention. CSF analysis showed a lymphocytic pleocytosis and increased protein levels. MRI disclosed a longitudinally extensive spinal cord lesion, with a high T2/STIR signal extending from C2 to T12. Serum anti-aquaporin-4 antibody was negative. We searched Medline/ PubMed, Embase, Scopus, and Google Scholar databases for myelopathy in SCD patients. Results: Spinal cord compression by vertebral fractures, extramedullary hematopoietic tissue, and Salmonella epidural abscess have been reported in SCD. We found only three case reports of spinal cord infarction, which is unexpectedly infrequent compared to the prevalence of cerebral infarction in SCD. We found only one case report of varicella-zoster myelitis and no previous report of LETM in SCD patients. Conclusion: Specific and time-sensitive causes of myelopathy should be considered in SCD patients. In addition to compression and ischemia, LETM should be considered as a possible mechanism of spinal cord involvement in SCD.

scholarly journals Pediatric spinal cord infarction following a minor trauma: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Ali Morshid ◽  
Huda Al Jadiry ◽  
Umar Chaudhry ◽  
Karthikram Raghuram
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Spinal Cord Infarction ◽  
Minor Trauma ◽  
A Minor

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

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 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.

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