Thoracic disc herniation presenting with transient anterior spinal artery syndrome: A case report

J. D. Guest, D. E. Griesdale, T. R. Marotta

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

This report is a clinical and radiologic correlation of anterior spinal arterial distribution ischemia with a thoracic disc herniation affecting the artery of Adamkiewicz. We could only find one other similar reported case. A 38-year-old woman developed sudden onset of severe back pain and radiculopathy, followed by rapidly evolving paraparesis. The neurological examination was consistent with a deficit caused by anterior spinal artery ischemia. MRI revealed T2 signal change in the thoracolumbar spinal cord and a laterally placed, non-calcified disc herniation. Selective spinal angiography performed 30 hours after onset revealed displacement of the left T9 radicular feeding artery by the disc herniation; at this time the artery was patent. The patient experienced some resolution of symptoms within the first 24 hours and was managed conservatively and made a significant recovery within two weeks. Appropriately located thoracic disc herniations can disturb the blood supply to the thoracolumbar spinal cord.

Original languageEnglish (US)
Pages (from-to)327-331
Number of pages5
JournalInterventional Neuroradiology
Volume6
Issue number4
StatePublished - Dec 1 2000
Externally publishedYes

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Keywords

  • Anterior spinal artery syndrome
  • Artery of Adamkiewicz
  • Herniation
  • Ischemia
  • Thoracic disc

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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