RT Journal Article
SR Electronic
T1 Acute cervical cord infarction in anterior spinal artery territory with acute swelling mimicking myelitis
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 372
OP 375
DO 10.17712/nsj.2015.4.20150109
VO 20
IS 4
A1 Al-Shaar, Hussam Abou
A1 AbouAl-Shaar, Iyad
A1 Al-Kawi, Mohammed Z.
YR 2015
UL http://nsj.org.sa/content/20/4/372.abstract
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.