Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report

CONTEXT: We describe a case of unilateral posterior upper cervical spinal cord infarction and propose a pathophysiologic mechanism causing this lesion after vertebral artery endovascular intervention. FINDINGS: A 70-year-old male presented with subacute onset of left hemibody sensory changes and gai...

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Detalles Bibliográficos
Autores principales: Elzamly, Kareem, Nobleza, Christa, Parker, Ellen, Sugg, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057308/
https://www.ncbi.nlm.nih.gov/pubmed/30073102
http://dx.doi.org/10.1155/2018/5070712
Descripción
Sumario:CONTEXT: We describe a case of unilateral posterior upper cervical spinal cord infarction and propose a pathophysiologic mechanism causing this lesion after vertebral artery endovascular intervention. FINDINGS: A 70-year-old male presented with subacute onset of left hemibody sensory changes and gait instability following a left vertebral angioplasty procedure. MRI cervical spine revealed upper posterior cervical spinal cord infarction (PSCI). After 3 months patient had substantial improvement of his symptoms. CONCLUSION: PSCI is rare but can present as a complication from vertebral artery angioplasty procedure. Early diagnosis of PSCI can be achieved with adequate understanding of its clinical signs and the blood supply of the spinal cord.

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