Synonyms:
a.k.a. anterior spinal artery syndrome:
Clinical features:
Back pain +sudden paraplegia with areflexia & urinary retention, loss of touch, temperature,
Usually spares proprioception & vibration
Findings in Investigations:
+MRI:
- may be negative initially
- Hyperintensity in the spinal cord, slightly expanded spinal cord later on
Note: T1-T4 & T5-T7 are the vascular boundary zones
Investigations to consider:
FBC,U&E, creatinine, LFTs, lipid panel, fasting blood glucose
ANA, ANCA, VDRL
ECG, Holter, echocardiogram
MRI