Acute spinal cord ischemia

Case contributed by Sigmund Stuppner
Diagnosis almost certain

Presentation

Acute postoperative paraplegia after aortic bifemoral bypass.

Patient Data

Age: 70 years
Gender: Female
mri

The spinal marrow and the conus medullaris appear swollen with a high intensity signal in T2-weighting.

Case Discussion

Spinal cord infarction can be associated with bilateral weakness, paresthesias, and sensory loss. The spinal cord stroke has an acute onset evolving over minutes. The syndrome depends on the level of the cord lesion and may vary from mild or moderate and even reversible leg weakness to quadriplegia.

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