Anterior spinal artery syndrome: A case report

Yi Min Chen, Helen L. Po, Shing Nin Mei, Sho Jen Cheng

Research output: Contribution to journalArticle

Abstract

Nontraumatic spinal cord ischemia is uncommon, especially at the cervical spinal cord. We describe a 30-year-old man presenting with acute onset of quadriparesis and impaired sensation for pain and temperature after backing up the car. He was diagnosed noninvasively with magnetic resonance imaging (MRI) and electrophysiological studies. The image studies had revealed a high signal intensity lesion in the cord from C5 to the upper part of thoracic spinal cord (T2) on T2-weighted images. The nerve conduction velocity study (NCV) revealed non pick-up of bilateral F waves and median nerves of upper limbs with decreased compound muscle action potentials (CMAPs) of the bilateral ulnar nerves. Motor evoked potentials (MEP) after transcranial cortical stimulation revealed low amplitudes and abnormal central conduction time to the legs and arms, which was more severe on the upper limbs and especially on the left side. The patient regained most of the muscle power except extensor muscles of the elbow and wrist after conservative treatment.

Original languageEnglish
Pages (from-to)25-30
Number of pages6
JournalChinese Journal of Radiology
Volume28
Issue number1
Publication statusPublished - Feb 1 2003
Externally publishedYes

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Keywords

  • Anterior spinal artery syndrome
  • Electrophysiological study
  • Magnetic resonance imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Chen, Y. M., Po, H. L., Mei, S. N., & Cheng, S. J. (2003). Anterior spinal artery syndrome: A case report. Chinese Journal of Radiology, 28(1), 25-30.