Diabetes as a risk factor of acute kidney injury in vancomycin users: an observational and prospective study

Anterior Spinal Artery Syndrome in a 14-Year-Old Boy

“…1 2 8 Moreover, the sympathetic nervous system may be involved in autonomic dysfunction (hypotension, sexual dysfunction, and bowel/bladder dysfunction). 2 5 If the lesion is located in the rostral nuchal medulla, as observed in our patient, the phrenic nerve and respiration may be affected. 1 2…”

“…The anterior two-thirds of the spinal cord contains important pathways for the functioning of the central nervous system and is supplied by the anterior spinal artery (ASA). 2 5 6 7…”

“…A diagnosis of ASAS should be made clinically using imaging (MRI). 2 5 8 MR examinations should include axial and sagittal diffusion-weighted imaging. 5 The characteristic MR features of ASAS include diffusion restriction in the ASA territory on diffusion-weighted images and a pencil-like hyperintense signal on sagittal T2-weighted images 1 5 9 that extends vertically and spans multiple spinal levels.…”

“…2 5 8 MR examinations should include axial and sagittal diffusion-weighted imaging. 5 The characteristic MR features of ASAS include diffusion restriction in the ASA territory on diffusion-weighted images and a pencil-like hyperintense signal on sagittal T2-weighted images 1 5 9 that extends vertically and spans multiple spinal levels. 2 Corresponding axial images may show hyperintensity with restricted diffusion in the anterior spinal cord, the so-called owl's eye sign.…”

“…1 13 Trauma and hematoma can directly bruise or compress the spinal cord. 5 Indirectly, systemic hypotension or vascular occlusion (traumatic, iatrogenic, thrombotic, or embolic cause) may result in reduced blood flow in the spinal arteries or their supplying arteries. 7 14 In contrast, inflammatory or infectious myelitis should be excluded.…”