Acute Spinal Cord Infarction with Preferential Involvement of Ventral Gray Matter: An Autopsy Report
| Autor: | Shuta Toru, Akira Takemoto, Tomonari Amano, Masanobu Kitagawa, Tetsuo Yamada, Masako Suzuki, Toshiki Uchihara, Takayoshi Kobayashi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pathology
medicine.medical_specialty business.industry Urinary system Rehabilitation Abdominal aorta Ischemia Autopsy Spinal cord medicine.disease White matter 03 medical and health sciences 0302 clinical medicine Abdominal Aortic Thrombosis medicine.anatomical_structure medicine.artery Medicine Surgery Neurology (clinical) Spinal cord infarction Cardiology and Cardiovascular Medicine business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Stroke and Cerebrovascular Diseases. 29:105348 |
| ISSN: | 1052-3057 |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2020.105348 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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