Spinal cord ischemia: practical imaging tips, pearls, and pitfalls

AJNR Am J Neuroradiol. 2015 May;36(5):825-30. doi: 10.3174/ajnr.A4118. Epub 2014 Oct 16.

Abstract

Ischemia of the spinal cord is a rare entity with a poor prognosis. Brain ischemia is no longer a diagnostic challenge; on the contrary, ischemia of the spinal cord remains difficult, particularly in children. In this article, we illustrate the principal causes in children and adults, clinical presentation, different techniques for the diagnosis by MR imaging (diffusion, spinal MR angiography, and 1.5 versus 3T), pathophysiology, and differential diagnosis. We will discuss current knowledge, perspectives, and pitfalls.

Publication types

  • Review

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Diffusion Magnetic Resonance Imaging / methods
  • Humans
  • Neuroimaging / methods*
  • Spinal Cord Ischemia / diagnosis*