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Thoracic Spinal Cord Infarct Presenting as Monoplegia

Year: 2024

Type: article

Abstract: Spinal cord infarction, a rare but severe condition, accounts for a small percentage of ischemic strokes and acute myelopathies. This case describes a 58-year-old Hispanic man with a history of hypertension, diabetes, hyperlipidemia, and cocaine use who presented with sudden onset of right-sided lower-limb monoplegia. Imaging revealed T2 hyperintensity in the anterior cord from T3 to T6, consistent with acute or subacute infarction. Despite extensive evaluation, no thrombus or significant arterial abnormalities were identified. The infarction was attributed to cocaine-induced vasospasm, underscoring the importance of considering drug-induced causes in atypical presentations of spinal cord injury and the relevance of vascular anatomy.

Source: Annals of Internal Medicine Clinical Cases

DOI: 10.7326/aimcc.2024.0565

Authors: Anandu Mathews Anto, Misbahuddin Khaja, Harendra Singh, Vedashree Ravte, Srikaran Bojja

Language: English

Topic: Acute Ischemic Stroke Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4405466301

FWCI:

Cites: 13

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Related to: 10