Spinal-Cord Ischemia

Spinal-cord ischemia (spinal cord infarction) is acute myelopathy due to occlusion of spinal vessels (classically anterior spinal artery), causing acute paraparesis/quadriparesis, dissociated sensory loss, and pain below the lesion, often after aortic surgery/atherosclerosis/hypotension. Diagnosis: MRI. Treatment: control vascular risk factors, supportive care, and neurorehabilitation; prognosis varies.

Common Symptoms

Acute paraparesis/quadriparesis; dissociated sensory loss; back pain; after aortic surgery/hypotension

Causes and Pathogenesis

Anterior spinal-artery occlusion/ischemia injures anterior two-thirds of cord, producing motor/pain-temperature deficit.

Treatment

Control vascular risk; supportive; neurorehab; treat aortic cause

Preventive Measures

Control vascular risk; aortic-surgery spinal protection.

Department to Visit

It is recommended to visit the Neurology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.