Spinal cord ischaemia

Case contributed by Dr Matt Skalski

Presentation

Acute onset of numbness and weakness in the lower extremities.

Patient Data

Age: Adult
Gender: Male
Modality: MRI

There is increased T2 signal in the central grey matter throughout the visualized spinal cord down to the level of the conus, creating the so-called owl's eyes appearance. An associated aortic dissection is noted.

Scattered areas of increased T1 and T2 signal in the psoas muscles, most likely due to denervation edema or hypo-perfusion.

Modality: CT

Extensive aortic dissection, Type 1A, extending into the superior mesenteric artery. 

Case Discussion

Typical example of acute spinal cord ischemia secondary to an aortic dissection

PlayAdd to Share

Case Information

rID: 43588
Case created: 17th Mar 2016
Last edited: 21st Apr 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.