Paraplegia due to Anterior Spinal Artery Stroke: Rehabilitative Program on Lower Extremity Weakness and Locomotor Function

@article{Santamato2013ParaplegiaDT,
  title={Paraplegia due to Anterior Spinal Artery Stroke: Rehabilitative Program on Lower Extremity Weakness and Locomotor Function},
  author={Andrea Santamato and Serena Filoni and Francesco Panza and Antonio Minerva and Maria Pia Lo Muzio and Vincenza Frisardi and Alberto Pilotto and Pietro Fiore and Maurizio Ranieri},
  journal={International Journal of Physical Medicine and Rehabilitation},
  year={2013},
  volume={1},
  pages={1-4}
}
Background: Spinal cord ischemia in the absence of trauma with a stroke in the territories of anterior spinal artery (ASA) attributed to paradoxical embolism through patent foramen ovale (PFO) is a rare event. Rehabilitative treatment is focused on the improvement of lower limbs muscle torque to consent a recovery of balance and gait. Methods: Case report of a 43-year-old woman with paraplegia after ASA stroke due to PFO Results: A 43-year-old woman was hospitalized for sudden and progressive… 
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References

SHOWING 1-10 OF 33 REFERENCES

Spinal cord infarction: prognosis and recovery in a series of 36 patients

Initial neurological assessment following ASIA/IMSOP classification proves to be the best predictor of prognosis, and the patient's advanced age constitutes a negative factor for functional recovery.

Carotid and vertebral artery injury in survivors of atlanto-occipital dislocation: case reports and literature review.

Recovery of neurologic function in two cases following prompt immobilization and angiography suggests that neurologic deficits secondary to vascular injury are potentially reversible.

Massive Spinal Cord Infarction With Multiple Paradoxical Embolism: A Case Report

Autopsy study showed severe ischemic necrosis of the spinal cord below T-10, and multiple infarcted lesions in the brain, lung, kidney, and heart, and deep venous thrombosis in the pelvis was disclosed to be the primary source of multiple paradoxical embolisms through the patent foramen ovale.

Complete sensory and motor recovery from anterior spinal artery syndrome after sprain of the cervical spine. A case report.

A patient sustained C7-C8 incomplete myelopathy with dissociated sensory loss after a whiplash injury and transient neurologic deficits were probably caused by vascular insufficiency of an anterior radicular artery at the C5-C6 intervertebral foramen.

Spinal Cord Infarction Secondary to Cocaine Use

The patient seems to have an infarct in the anterior spinal artery distribution, with clinical, imaging, and electrodiagnostic findings of upper-extremity lower–motor neuron injury, accompanied by spasticity of the lower extremities.

Cervical spondylosis complieated by anterior spinal artery thrombosis

The following case is reported of an elderly patient with cervical spondylosis where the myelopathy was clearly due to anterior spinal artery thrombosis, an association the authors have not found described in the medical literature.

Spinal cord infarction: MR imaging and clinical features in 16 cases

MR imaging is useful in detecting spinal cord infarction, with axial T2-weighted images showing hyperintensities in the ASA territory in 15 of 16 patients, and data suggest a high ischemic vulnerability of the cervical spinal cord at level C2–C3.

Non-traumatic ischaemic myelopathy: a review of 25 cases

The degree of clinical recovery was greater among those with incomplete spastic (as opposed to complete flaccid) paralysis and among those in whom sensory loss below the level of injury was incomplete.

Spinal cord infarction: clinical and magnetic resonance imaging findings and short term outcome

The two month outcome mainly depends on the initial severity of the neurological deficit; however, a few patients with a severe impairment at onset had a good outcome, especially when proprioception remained normal at onset, as well as the hypothesis that pain occurs more frequently in small spinal infarcts.

Anterior spinal artery syndrome and its natural history

Patients with sparing of motor function or pain sensation below the lesion do better than those without both functions and Neurological return also varies with the aetiology of the syndrome.