Acute Spinal Cord Infarction with Preferential Involvement of Ventral Gray Matter: An Autopsy Report.
J Stroke Cerebrovasc Dis
; 29(12): 105348, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-33070111
ABSTRACT
Herein, we report abdominal aortic thrombosis as a rare cause of acute spinal cord infarction. A 78-year-old man with multiple vascular risk factors developed acute paraplegia with sensory and urinary disturbances and signs of ischemia in both lower limbs. The post-mortem study done 3 days after the onset of symptoms revealed a large coagulum in the abdominal aorta, distal to the renal arteries and extending to bilateral common iliac arteries; in addition, marked atherosclerosis was present in most large blood vessels. Premature incomplete necrotic foci were seen in the ventral gray matter of the spinal cord from T6 through S5; the surrounding white matter and dorsal gray matter were spared. Considering our autopsy case, spinal cord gray matter may be more vulnerable to ischemia than the white matter.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aorta Abdominal
/
Doenças da Aorta
/
Medula Espinal
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Trombose
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Isquemia do Cordão Espinal
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Substância Cinzenta
/
Infarto
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Aged
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Humans
/
Male
Idioma:
En
Revista:
J Stroke Cerebrovasc Dis
Assunto da revista:
ANGIOLOGIA
/
CEREBRO
Ano de publicação:
2020
Tipo de documento:
Article