PT  - JOURNAL ARTICLE
AU  - Al-Shaar, Hussam Abou
AU  - AbouAl-Shaar, Iyad
AU  - Al-Kawi, Mohammed Z.
TI  - Acute cervical cord infarction in anterior spinal artery territory with acute swelling mimicking myelitis
AID  - 10.17712/nsj.2015.4.20150109
DP  - 2015 Oct 01
TA  - Neurosciences Journal
PG  - 372--375
VI  - 20
IP  - 4
4099  - http://nsj.org.sa/content/20/4/372.short
4100  - http://nsj.org.sa/content/20/4/372.full
SO  - Neurosciences (Riyadh)2015 Oct 01; 20
AB  - Acute infarction of the cervical segment of the spinal cord is extremely uncommon. Patients may present with signs and symptoms mimicking that of acute myelitis. On imaging, both conditions may present as a hyperintense area on T-2 weighted MRI. History of sudden onset is essential in establishing the diagnosis. We report a case of cervical spinal cord infarction in a 40-year-old man who was diagnosed with acute transverse myelitis, and was treated with high dose intravenous corticosteroids followed by 5 sessions of plasma exchange. An MRI of the spine revealed abnormal high T2 signal intensity extending from the C2 to C7 level involving the anterior two-thirds of the cord with more central involvement. The findings were consistent with anterior spinal artery territory cervical cord infarction.