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Journal of the Korean Academy of Rehabilitation Medicine 1997;21(3):604-609.
Spontaneous Thoracolumbar Spinal Cord Infarction: A case report.
Yoon, Seo Ra , Lee, Sam Gyu , Ha, Tae Yoon , Han, Seung Sang , Seon, Kwang Jin
Department of Rehabilitation Medicine, Chonnam University, College of Medicine, Korea.
자발성 흉요수 경색증 ⁣증례 보고⁣
윤서라, 이삼규, 하태윤, 한승상, 선광진
전남대학교 의과대학 재활의학교실
Abstract
Vascular disease of the spinal cord occurs less frequently than of the brain, and its incidence is not known. Case reports of spinal cord infarction are uncommon, especially ones with spontaneous causes. We experienced one case with a spontaneous spinal cord infarction in the territory of the Adamkiewicz artery. In this case, the clinical pictures were characterized by sudden onset of paraplegia, bilateral radicular pain, dissociated sensory loss below the level of infarction and sphincter dysfunction. Neuroradiological investigation and CSF analysis ruled out compressive or infectious lesions. Selective spinal angiography revealed an occlusion of the Adamkiewicz artery. The patient had a substantial recovery over a period of weeks with intensive rehabilitation treatments.
Key Words: Spinal cord infarction, Adamkiewicz artery, Spinal cord angiography


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