Infarction of the conus medullaris

Anderson, N. E.; Willoughby, Ernest

doi:10.1002/ana.410210510

Cited by 41 publications

(15 citation statements)

References 12 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 8 surviving patients, 6 were visited at their homes and 1 (patient 3 in Table 1) at a rehabilitation center. The last (patient 1) was severely deteriorating in the hospital as a result of intestinal bleeding and a cerebral hemorrhage; therefore his wife was interviewed.…”

Section: -Resultsmentioning

confidence: 99%

“…4 That the volume of the brain is so much larger may be only a part of the explanation; according to some studies, spinal arteries themselves are rarely affected by atherosclerosis5; in addition, the spinal cord has a rich anastomotic network of arteries. 6 Follow-up studies on patients with spinal infarction are rare, as most studies on the subject have addressed the causes rather than the outcome. The purpose of this study is to establish the long-term clinical condition of patients with this disorder.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Spinal infarction. A follow-up study.

Pelser

Gijn

1993

Stroke

View full text Add to dashboard Cite

Ten patients with spinal cord infarction were followed up after 1 to 27 (median, 3) years to establish the sequelae of the disease in the long term. Eight surviving patients were interviewed about mobility, pain, and activities of daily living. All 8 patients had residual weakness in the legs; 7 of them were able to live at home without professional help. All but 1 suffered from continuous pain, which was not dependent on the degree of weakness. Motor function had improved to some extent in all patients, but pain is a disabling feature in the long term.

show abstract

Section: -Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Spinal infarction. A follow-up study.

Pelser

Gijn

1993

Stroke

View full text Add to dashboard Cite

show abstract

“…The systems of both the anterior and posterior spinal arteries join together at the lower aspect of the conus medullaris to form a complex termed the "conus basket" (Fig. 7; Doppman et al, 1969;Anderson and Willoughby, 1987) with extensions along the filum terminale (Fig. 8).…”

Section: Spinal Arteriesmentioning

confidence: 99%

Blood supply to the human spinal cord: Part I. Anatomy and hemodynamics

et al. 2013

View full text Add to dashboard Cite

The arterial network that supplies the human spinal cord, which was once thought to be similar to that of the brain, is in fact much different and more extensive. In this article, the authors attempt to provide a comprehensive review of the literature regarding the anatomy and known hemodynamics of the blood supply to the human spinal cord. Additionally, as the medical literature often fails to provide accurate terminology for the arteries that supply the cord, the authors attempt to categorize and clarify this nomenclature. A complete understanding of the morphology of the arterial blood supply to the human spinal cord is important to anatomists and clinicians alike.

show abstract

“…Conus medullaris ischemia and infarction with profound loss of anal sphincter tone and bowel and bladder incontinence [4] has been reported following aortic surgery due to intraoperative insult to vascular supply [5]. The clinical presentation of this patient strongly suggests the occurrence of microcirculatory partial conus medullaris infarction.…”

Section: Discussionmentioning

confidence: 87%

Duloxetine for treatment of male sphincteric incontinence following partial conus medullaris infarction after coronary bypass surgery

et al. 2009

View full text Add to dashboard Cite

IntroductionVascular spinal cord injury following coronary bypass grafting surgery is very rare and this is probably one of few reports of a presumptive partial conus medullaris lesion leading to sudden onset bladder and bowel incontinence which was managed using duloxetine, a selective serotonin and norepinephrine reuptake inhibitor. Duloxetine has been used in selected patients with post-prostatectomy sphincteric incontinence but not, to our knowledge, for spinal vascular lesions.Case presentationA 63-year-old Indian man developed bladder and bowel incontinence immediately following coronary bypass grafting surgery. Findings were suggestive of microcirculatory partial conus medullaris infarction. Based on his urodynamics findings he was managed with duloxetine, tolterodine and clean intermittent catheterization. The clinical presentation, serial urodynamic findings and implications are discussed.ConclusionSpinal injury following coronary bypass grafting is rare and devastating. It is important to be able to recognize the problem even when paraplegia is not noted, counsel the patient and manage the patient with the help of urodynamics. In patients with sphincteric incontinence, duloxetine may have a role in management.

show abstract

Infarction of the conus medullaris

Cited by 41 publications

References 12 publications

Spinal infarction. A follow-up study.

Spinal infarction. A follow-up study.

Blood supply to the human spinal cord: Part I. Anatomy and hemodynamics

Duloxetine for treatment of male sphincteric incontinence following partial conus medullaris infarction after coronary bypass surgery

Contact Info

Product

Resources

About