Hemi-spinal cord infarction due to vertebral artery dissection in congenital afibrinogenemia

Neurology. 2004 Oct 26;63(8):1522-3. doi: 10.1212/01.wnl.0000142086.00147.d9.

Abstract

Isolated ischemia of the cervical spinal cord is an uncommon but increasingly recognized complication of vertebral artery dissection (VAD). The authors report a young patient with congenital afibrinogenemia, who developed VAD with extensive unilateral spinal cord infarction, probably caused by local compression of spinal radicular feeders at their origin by vertebral artery hematoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Afibrinogenemia / complications*
  • Afibrinogenemia / congenital
  • Anticoagulants / therapeutic use
  • Cervical Vertebrae
  • Female
  • Fibrinogen / therapeutic use
  • Horner Syndrome / etiology
  • Horner Syndrome / pathology
  • Horner Syndrome / physiopathology
  • Humans
  • Magnetic Resonance Imaging
  • Paresis / etiology
  • Paresis / pathology
  • Paresis / physiopathology
  • Spinal Cord / blood supply
  • Spinal Cord / pathology*
  • Spinal Cord / physiopathology
  • Spinal Cord Ischemia / etiology*
  • Spinal Cord Ischemia / pathology*
  • Spinal Cord Ischemia / physiopathology
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex
  • Vertebral Artery / diagnostic imaging
  • Vertebral Artery / pathology
  • Vertebral Artery / physiopathology
  • Vertebral Artery Dissection / complications*
  • Vertebral Artery Dissection / diagnostic imaging
  • Vertebral Artery Dissection / pathology*

Substances

  • Anticoagulants
  • Fibrinogen