Spinal cord infarction: clinical and magnetic resonance imaging findings and short term outcome

Journal of Neurology, Neurosurgery, and Psychiatry
C MassonStudy Group on Spinal Cord Infarction of the French Neurovascular Society

Abstract

Most studies on spinal cord infarction have been conducted in single centres; they usually consisted of case reports, or of larger series of patients recruited over a large period of time, with heterogeneous diagnostic procedures. Therefore, the clinical and radiological presentation of spinal cord infarcts and their short term outcome remain poorly understood. To define clinical and magnetic resonance imaging (MRI) findings, and short term outcome in patients with spinal cord infarcts. The authors prospectively included patients within 10 days of onset. An MRI scan was required and repeated when initially normal. Twenty eight consecutive patients were included over a 24 month period in 16 neurological centres. The infarct was cervical in seven patients, thoracic in three, thoracolumbar in 15, and restricted to the conus in three. On axial MRI scans the infarct was located in the central territory of the anterior spinal artery in 21 patients, and in the peripheral arterial territory in three. At month two, 15 patients had a good outcome and 13 had a poor outcome, including three deaths. Patients who, at onset, could not walk, had bladder dysfunction, or proprioceptive deficits were more likely to have a poor outcome. At month t...Continue Reading

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