tailieunhanh - báo cáo khoa học: "A patient presenting with intact sensory modalities in acute spinal cord ischemia syndrome: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A patient presenting with intact sensory modalities in acute spinal cord ischemia syndrome: a case report | Abdel-Mannan and Mahmud Journal of Medical Case Reports 2011 5 31 http content 5 1 31 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access A patient presenting with intact sensory modalities in acute spinal cord ischemia syndrome a case report Omar Abdel-Mannan f Imran Mahmud2 Abstract Introduction Acute spinal cord ischemia syndrome is a rare condition comprising a small fraction of neurovascular accidents the majority of which occur within the cerebral circulation. The circulation of the spinal cord has several unique features that determine the clinical presentation. Case presentation In this case of a 67-year-old Caucasian man who came to our emergency department with sudden-onset severe right-sided pain and bilateral upper limb weakness an atypical pattern of sensory deficit was observed. In this case report we review acute spinal cord ischemia syndrome and consider the pathophysiology diagnostic measures and prognostic factors associated with patient recovery. Conclusion Acute spinal cord ischemia syndrome with atypical patterns of sensory deficit is uncommon. Clinicians must consider acute spinal cord ischemia syndrome when assessing all patients with acute neck pain and focal neurological deficits atypical presentations can present a diagnostic challenge. Current knowledge of the longterm outcome in patients with spinal cord ischemia is based on only a few small studies some of which are discussed here. Introduction Spinal cord infarction or death of a macroscopic region of tissue in the spinal cord is a rare event. Estimates report spinal cord infarction comprising only of all strokes and an overall annual incidence of only 12 per 100 000. The pattern of symptoms can predict the vascular territory affected during the ischemic episode 1 . Acute spinal cord ischemia syndrome ASCIS is predictably due primarily to pathology in the anterior spinal artery its feeders or its branches. First described by Spiller in 1909 2 .

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