Syndrome of the Anterior Spinal Artery

At, Steegmann

doi:10.1212/wnl.2.1-2.15

Cited by 44 publications

(11 citation statements)

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“…Lues was at one time a common cause of ASA syndrome (Henneaux, 1960;Spiller, 1909;Steegmann, 1952). In children, it is often associated with post-infectious or post-vaccination myelopathy (Paine and Byers, 1953).…”

Section: Discussionmentioning

confidence: 99%

Anterior spinal artery syndrome and its natural history

1983

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Summary. The anterior spinal artery syndrome in three patients is described and from the literature 60 additional patients were collected. Motor recovery in the following groups of patients was noted: (I) Partial loss of motor function and pain sensation-70'4 per cent (19/27); (2) Complete motor loss but partial loss of pain-83 3 per cent (5/6); (3) Paresis but pain sensation absent-66'7 per cent (6/9); and (4) Absent motor function and pain-38-9 per cent (7/18). Motor recovery was also found to vary according to aetiology: (A) Unknown cause-92'9 per cent (13/14); (B) Post-infection or vaccination-88'9 per cent (8/9); (C) Anterior spinal artery occlusion-33'3 per cent (3/9); CD) Spinal cord angioma-20 per cent (2/10); and (E) Aortic lesion-20 per cent (1/5).Patients with sparing of motor function or pain sensation below the lesion do better than those without both functions. Neurological return also varies with the aetiology of the syndrome.

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Section: Discussionmentioning

confidence: 99%

Anterior spinal artery syndrome and its natural history

1983

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“…However, com plete neurologic recovery is rare [Steegmann, 1952;Paine and Byers, 1953;Foo and Ros sier, 1983] and has been reported only in 3 children after upper respiratory tract infec tion or vaccination [Steegmann, 1952;Paine and Byers, 1953]. In contrast to the patients of Grinker and Guy [1927], Hetzel [1965], and Ahmann et al [1975], our patient had a rapid and complete neurologic recovery ex cept for the absence or triceps reflexes.…”

Section: Discussionmentioning

confidence: 58%

Complete Sensory and Motor Recovery from Anterior Spinal Artery Syndrome after Sprain of the Cervical Spine

Foo

Rossier²,

Cochran

1984

Eur Neurol

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A patient sustained C7-C8 incomplete myelopathy with dissociated sensory loss after a whiplash injury. Cervical radiograms showed no fracture or dislocation but separation of the C4-C5 and C5-C6 spinous processes and anterior tilting of C5 on C6 vertebral body only in the head-neck flexed position. Complete sensory and motor recovery occurred after neck immobilization. The patient’s transient neurologic deficits were probably caused by vascular insufficiency of an anterior radicular artery at the C5-C6 intervertebral foramen.

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“…7 The occlusion of these arteries leads to two well-known ischemic injuries, the syndrome of the anterior spinal artery, and the syndrome of the posterior spinal arteries. [11][12][13] Generally speaking, the topographic distribution of infarcts in these syndromes corresponds well to that of the two arteries. [12][13][14] In the present patient, the infarction occupied the whole central areas Figure 3 Intersegmental and intrasegmental distribution of the infarction of the spinal cord (HE, LFB/PAS and CD68-immunostain; Th, thoracic; L, lumbar; S, sacral; original magnification Â 10; the lower thoracic and lower sacral segments are shown at higher print magnification) of the cord with a rim of white matter unaffected on the circumference of the cord.…”

Section: Discussionmentioning

confidence: 81%

Hemodynamic infarction of the spinal cord: involvement of the gray matter plus the border-zone between the central and peripheral arteries

et al. 2004

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Objective: Hemodynamic infarction of the spinal cord that affected an 81-year-old female having a dissecting aortic aneurysm is presented. During the graft replacement operation, systemic hypotension occurred and the patient was subsequently complicated with paraplegia of the lower limbs. The patient died 2 weeks after the surgery due to gastrointestinal bleeding. An autopsy, which did not include the brain, was performed and the spinal cord was sampled. The aim of this report is to describe the pathologic profile of the spinal cord of the patient, and to gain insight into the pathogenesis of the lesion. Methods: Histochemical and immunohistochemical methods were employed to study the spinal cord ranging from the lower thoracic to sacral segments. Results: The whole central areas of the spinal cord showed coagulation and/or liquefaction necroses, while the white matter on the circumference of the cord remained unaffected, thus exhibiting a 'ring-like' appearance. Conclusion: This case is an example of hemodynamic infarction of the spinal cord involving the gray matter that is supplied by the central artery, plus the border-zone that is supplied by both the central and peripheral arteries. The former is probably associated with selective vulnerability of the gray matter to ischemia, while the latter is probably associated with intrinsic vulnerability of the border-zone to systemic hypotension or low blood-flow states.

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Syndrome of the Anterior Spinal Artery

Cited by 44 publications

References 0 publications

Anterior spinal artery syndrome and its natural history

Anterior spinal artery syndrome and its natural history

Complete Sensory and Motor Recovery from Anterior Spinal Artery Syndrome after Sprain of the Cervical Spine

Hemodynamic infarction of the spinal cord: involvement of the gray matter plus the border-zone between the central and peripheral arteries

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