Article

The 5 year review of patients referred to one center. Objective: To report spinal cord infarction secondary to vascular occlusion from disease in a lower thoracic intervertebral foramen. Method: The clinical and imaging findings of two cases with acute spinal cord dysfunction are presented. Setting: Midlands Centre for Spinal Injuries, England. Results: The CT and MR imaging features revealed lower thoracic unilateral foraminal occlusion due to acute facet joint septic arthritis in a diabetic patient, and secondary to chronic hypertrophic osteophytes in a second hypertensive individual. The presumed mechanism of infarction was occlusion of the artery of Adamkiewicz. Conclusion: Foraminal disease in the lower thoracic levels needs to be entertained in cases of unexplained nontraumatic acute spinal cord dysfunction.

Langue : ANGLAIS