Paralyzing paradox: Spinal cord infarction, a hidden emergency

Spinal cord infarction is a rare entity that is encountered less but has a high mortality and morbitiy rate. 43 years old female presented to emergency department with acute lower limb weakness. Urgent MRI was performed that showed long segment intramedullary signal abnormality involving anterior an...

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Main Authors: Khurram Khaliq Bhinder, Khizer Ahmed Khan, Madiha Saeed Wahla, Amna Mehboob, Abeer Shahid, Alishbah Ziad
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325000597
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author Khurram Khaliq Bhinder
Khizer Ahmed Khan
Madiha Saeed Wahla
Amna Mehboob
Abeer Shahid
Alishbah Ziad
author_facet Khurram Khaliq Bhinder
Khizer Ahmed Khan
Madiha Saeed Wahla
Amna Mehboob
Abeer Shahid
Alishbah Ziad
author_sort Khurram Khaliq Bhinder
collection DOAJ
description Spinal cord infarction is a rare entity that is encountered less but has a high mortality and morbitiy rate. 43 years old female presented to emergency department with acute lower limb weakness. Urgent MRI was performed that showed long segment intramedullary signal abnormality involving anterior and middle half of cervical spinal cord, showing restricted diffusion and possible questionable faint enhancement. Another smaller similar abnormal signal intensity intramedullary focus at T1-T2 level. No heterogenous signal or abnormal enhancement was noted in adjacent visualized vertebral bodies. Considering restricted diffusion first differential possibility is of anterior spinal cord ischemia/infarct with no fever or trauma history. This is a rare case presentation of spinal infarct in Pakistan presenting acutely.
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institution Kabale University
issn 1930-0433
language English
publishDate 2025-04-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-b44d98b047184250977b23936bef3a632025-02-08T05:00:03ZengElsevierRadiology Case Reports1930-04332025-04-0120422352238Paralyzing paradox: Spinal cord infarction, a hidden emergencyKhurram Khaliq Bhinder0Khizer Ahmed Khan1Madiha Saeed Wahla2Amna Mehboob3Abeer Shahid4Alishbah Ziad5Corresponding author.; Radiology Department, Shifa International Hospital, Islamabad, Punjab 44000, PakistanRadiology Department, Shifa International Hospital, Islamabad, Punjab 44000, PakistanRadiology Department, Shifa International Hospital, Islamabad, Punjab 44000, PakistanRadiology Department, Shifa International Hospital, Islamabad, Punjab 44000, PakistanRadiology Department, Shifa International Hospital, Islamabad, Punjab 44000, PakistanRadiology Department, Shifa International Hospital, Islamabad, Punjab 44000, PakistanSpinal cord infarction is a rare entity that is encountered less but has a high mortality and morbitiy rate. 43 years old female presented to emergency department with acute lower limb weakness. Urgent MRI was performed that showed long segment intramedullary signal abnormality involving anterior and middle half of cervical spinal cord, showing restricted diffusion and possible questionable faint enhancement. Another smaller similar abnormal signal intensity intramedullary focus at T1-T2 level. No heterogenous signal or abnormal enhancement was noted in adjacent visualized vertebral bodies. Considering restricted diffusion first differential possibility is of anterior spinal cord ischemia/infarct with no fever or trauma history. This is a rare case presentation of spinal infarct in Pakistan presenting acutely.http://www.sciencedirect.com/science/article/pii/S1930043325000597Spinal cord infarctSpinal cordRadiologyPakistan
spellingShingle Khurram Khaliq Bhinder
Khizer Ahmed Khan
Madiha Saeed Wahla
Amna Mehboob
Abeer Shahid
Alishbah Ziad
Paralyzing paradox: Spinal cord infarction, a hidden emergency
Radiology Case Reports
Spinal cord infarct
Spinal cord
Radiology
Pakistan
title Paralyzing paradox: Spinal cord infarction, a hidden emergency
title_full Paralyzing paradox: Spinal cord infarction, a hidden emergency
title_fullStr Paralyzing paradox: Spinal cord infarction, a hidden emergency
title_full_unstemmed Paralyzing paradox: Spinal cord infarction, a hidden emergency
title_short Paralyzing paradox: Spinal cord infarction, a hidden emergency
title_sort paralyzing paradox spinal cord infarction a hidden emergency
topic Spinal cord infarct
Spinal cord
Radiology
Pakistan
url http://www.sciencedirect.com/science/article/pii/S1930043325000597
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