J Korean Soc Spine Surg.  2013 Jun;20(2):64-66. 10.4184/jkss.2013.20.2.64.

Acute Spinal Cord Infarction: Diffusion-Weighted MR Imaging: Case Report

Affiliations
  • 1Department of Orthopedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea. niceo@hanmail.net
  • 2Department of Neurology, School of Medicine, Wonwang University, Gunpo, Korea.
  • 3Institute of Wonkwang Medical Science, Iksan, Korea.

Abstract

STUDY DESIGN: A case report.
OBJECTIVE
We present a rare case of acute spinal cord infarction and usefulness of diffusion weighted MR imaging. SUMMARY OF LITERATURE REVIEW: T1-weighted and T2-weighted images are often normal in a patient with acute spinal cord infarction. MATERIAL AND METHODS: An 82-year-old presented with acute onset of paraplegia and urinary retention. His symptoms developed 6 days ago without any trauma. He had a history of vertebroplasty due to compression fracture of 12th thoracic vertebral body 6 years ago. There was no evidence of spinal cord compression on routine T1-and T2-weighted MRI.
RESULTS
In diffusion-weighted MRI, a high intensity signal intensity lesion in the spinal cord and conus medullaris was observed.
CONCLUSION
We report an example for the usefulness of diffusion-weighted image for early and accurate diagnosis of acute spinal cord infarction.

Keyword

Spinal cord; Infarction; Diffusion-MRI
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