Spinal Cord Stroke: Acute Imaging and Intervention

Spinal cord infarction is an uncommon disease and as such is often a diagnostic challenge for clinicians. It can vary in its onset, severity, outcome, and recovery from patient to patient. Treatment options for this relatively rare condition also remain elusive. Current consensus recommendations ar...

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Main Authors: Karen Lynch, Joel Oster, Diana Apetauerova, Kinan Hreib
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2012/706780
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author Karen Lynch
Joel Oster
Diana Apetauerova
Kinan Hreib
author_facet Karen Lynch
Joel Oster
Diana Apetauerova
Kinan Hreib
author_sort Karen Lynch
collection DOAJ
description Spinal cord infarction is an uncommon disease and as such is often a diagnostic challenge for clinicians. It can vary in its onset, severity, outcome, and recovery from patient to patient. Treatment options for this relatively rare condition also remain elusive. Current consensus recommendations are antiplatelet therapy and the symptomatic management of associated complications such as paraplegia and thromboembolic disease. There are multiple studies in surgical literature of a variety of interventions and adjuncts used for reducing the risk of ischemic spinal cord neurological injury, seen most often in the setting of thoracoabdominal aortic repair operations. We report two cases of acute non-surgical-related spinal cord infarcts, where early diagnosis was made and aggressive, early treatments instituted. With often devastating outcomes, we highlight the need for early detection and that interventions, commonly used in preventing neurological injury after high-risk aneurysm repairs, may be beneficial in treating and reducing the severity of disability in acute spinal cord stroke.
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series Case Reports in Neurological Medicine
spelling doaj-art-a1881d6b271648888f46c49e39191de72025-02-03T01:33:05ZengWileyCase Reports in Neurological Medicine2090-66682090-66762012-01-01201210.1155/2012/706780706780Spinal Cord Stroke: Acute Imaging and InterventionKaren Lynch0Joel Oster1Diana Apetauerova2Kinan Hreib3Department of Neurology, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USADepartment of Neurology, Lahey Clinic Medical Center, A Tufts University Affiliated Hospital, 41 Mall Road, Burlington, MA 01805, USADepartment of Neurology, Lahey Clinic Medical Center, A Tufts University Affiliated Hospital, 41 Mall Road, Burlington, MA 01805, USADepartment of Neurology, Lahey Clinic Medical Center, A Tufts University Affiliated Hospital, 41 Mall Road, Burlington, MA 01805, USASpinal cord infarction is an uncommon disease and as such is often a diagnostic challenge for clinicians. It can vary in its onset, severity, outcome, and recovery from patient to patient. Treatment options for this relatively rare condition also remain elusive. Current consensus recommendations are antiplatelet therapy and the symptomatic management of associated complications such as paraplegia and thromboembolic disease. There are multiple studies in surgical literature of a variety of interventions and adjuncts used for reducing the risk of ischemic spinal cord neurological injury, seen most often in the setting of thoracoabdominal aortic repair operations. We report two cases of acute non-surgical-related spinal cord infarcts, where early diagnosis was made and aggressive, early treatments instituted. With often devastating outcomes, we highlight the need for early detection and that interventions, commonly used in preventing neurological injury after high-risk aneurysm repairs, may be beneficial in treating and reducing the severity of disability in acute spinal cord stroke.http://dx.doi.org/10.1155/2012/706780
spellingShingle Karen Lynch
Joel Oster
Diana Apetauerova
Kinan Hreib
Spinal Cord Stroke: Acute Imaging and Intervention
Case Reports in Neurological Medicine
title Spinal Cord Stroke: Acute Imaging and Intervention
title_full Spinal Cord Stroke: Acute Imaging and Intervention
title_fullStr Spinal Cord Stroke: Acute Imaging and Intervention
title_full_unstemmed Spinal Cord Stroke: Acute Imaging and Intervention
title_short Spinal Cord Stroke: Acute Imaging and Intervention
title_sort spinal cord stroke acute imaging and intervention
url http://dx.doi.org/10.1155/2012/706780
work_keys_str_mv AT karenlynch spinalcordstrokeacuteimagingandintervention
AT joeloster spinalcordstrokeacuteimagingandintervention
AT dianaapetauerova spinalcordstrokeacuteimagingandintervention
AT kinanhreib spinalcordstrokeacuteimagingandintervention