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Quick Medical Diagnosis & Treatment Spinal Cord Vascular Diseases Sections: Key Features, Essentials of Diagnosis, General Considerations, Infarction of the spinal cord, Epidural or subdural hemorrhage, Spinal dural arteriovenous fistulae, Clinical Findings, Symptoms and Signs, Infarction of the spinal cord, Epidural or subdural hemorrhage, Spinal dural arteriovenous fistulae, Differential Diagnosis, Diagnosis, Imaging Studies, Treatment, Surgery, Therapeutic Procedures, Outcome, Prognosis, When to Refer, When to Admit, References,
. Topics Discussed: arteriovenous malformation, spinal; spinal cord infarction; spinal cord vascular diseases. Excerpt: | | Rare and typically occurs in the anterior spinal artery territory (which supplies the anterior two-thirds of the cord) because this artery is supplied by only a limited number of feeders
Usually caused by interrupted flow in one or more of these feeders, eg, with aortic dissection, aortography, polyarteritis, or severe hypotension, or after surgical resection of the thoracic aorta
Usually caudal because the anterior spinal artery receives numerous feeders in the cervical region
Spinal cord hypoperfusion may lead to a central cord syndrome with distal weakness of lower motor neuron type and loss of pain and temperature appreciation, with preserved posterior column function
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