Skip to main content

Spinal Cord Infarction

  • Chapter
  • First Online:

Abstract

The spinal cord is supplied by the radiculomedullary artery (synonyma: nervomedullary arteries or spinal branches) originating in the thoracic region from the posterior intercostal artery, which arises from the aorta. In the cervical section of the spinal cord the feeders originate from the vertebral artery (VA) and also from deep cervical arteries arising from the thyreocervical trunk via ascending cervical artery and the costocervical trunk. In the lumbar region pelvic arteries and the lateral sacral arteries arising from the internal iliac artery also supply the lumbar section with the conus medullaris.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Turnbull IM, Brieg A, Hassler O (1966) Blood supply of cervical spinal cord in man. A microangiographic cadaver study. J Neurosurg 24:951–965

    Article  PubMed  CAS  Google Scholar 

  2. Thron A (ed) (1989) Vascularisation of the spinal cord. Springer, Wien, New York

    Google Scholar 

  3. Lazorthes G (1972) Pathology, classification and clinical aspects of vascular diseases in spinal cord. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 12. North Holland, Amsterdam, pp 492–506

    Google Scholar 

  4. Martirosyan N, Feuerstein J, Theodore N, Cavalcanti D, Spetzler R, Preul M (2011) Blood supply and vascular reactivity of the spinal cord under normal and pathological conditions. J Neurosurg Spine 15:238–251

    Article  PubMed  Google Scholar 

  5. Jellinger KA (1997) Spinal cord watershed. Neurology 48:1474

    Article  PubMed  CAS  Google Scholar 

  6. Gelfan S, Tarlov IM (1955) Differential vulnerability of spinal cord structures to anoxia. J Neurophysiol 18:170–188

    PubMed  CAS  Google Scholar 

  7. Weidauer S, Nichtweiss M, Lanfermann H, Zanella FE (2002) Spinal cord infarction: MR imaging and clinical features in 16 cases. Neuroradiology 44:851–857

    Article  PubMed  Google Scholar 

  8. Weidauer S, Gartenschläger M, Claus D (1999) Spinal sulcal artery syndrome due to bilateral vertebral artery dissection. J Neurol Neurosurg Psychiatry 67:550–551

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  9. Mull M (2005) Acute spinal cord ischemia: diagnosis without therapeutic options? Clin Neuroradiol 15:79–88

    Article  Google Scholar 

  10. Masson C, Boukriche Y, Berthelot JL, Colombani JM (2001) Vertebra, rib and spinal cord infarction caused by probable fibrocartilaginous embolism. Cerebrovasc Dis 12:142–143

    Article  PubMed  CAS  Google Scholar 

  11. Tosi L, Rigoli G, Beltramello A (1996) Fibrocartilaginous embolism of the spinal cord: a clinical and pathogenetic reconsideration. J Neurol Neurosurg Psychiatry 60:55–60

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  12. Mikulis DJ, Ogilvy S, McKee A, Davis KR, Ojeman RG (1992) Spinal cord infarction and fibrocartilaginous emboli. AJNR Am J Neuroradiol 13:155–160

    PubMed  CAS  Google Scholar 

  13. Di Lazzaro V, Restuccia D, Oliveiro A, Profice P, Nardone R, Valeriani M, Colosimo C, Tartaglione T, Della Corte F, Pennini MA, Tonali P (1997) Ischaemic myelopathy associated with cocaine: clinical, neurophysiological and neuroradiological features. J Neurol Neurosurg Psychiatry 63:531–533

    Article  PubMed  Google Scholar 

  14. Qureshi AI, Akbar MS, Czander E, Safdar K, Janssen RS, Frankel MR (1997) Crack cocaine use and stroke in young patients. Neurology 48:341–345

    Article  PubMed  CAS  Google Scholar 

  15. Bergqvist C, Goldberg HI, Thorarensen O, Bird SJ (1997) Posterior cervical spinal cord infarction following vertebral artery dissection. Neurology 48:1112–1115

    Article  PubMed  CAS  Google Scholar 

  16. Berg P, Kaufmann D, van Marrewijk CD, Buth J (2001) Spinal cord ischemia after stent – graft treatment for infrarenal abdominal aortic aneurysms. Analysis of the Eurostar data base. Eur J Vasc Endovasc Surg 4:342–347

    Article  Google Scholar 

  17. Laufs H, Weidauer S, Heller C, Lorenz M, Neumann-Haefelin T (2004) Hemi-spinal cord infarction due to vertebral artery dissection in congenital afibrinogenemia. Neurology 63:1522–1523

    Article  PubMed  CAS  Google Scholar 

  18. Lipper MH, Goldstein JH, Do HM (1998) Brown – Séquard syndrome of the cervical spinal cord after chiropractic manipulation. AJNR Am J Neuroradiol 19:1349–1352

    PubMed  CAS  Google Scholar 

  19. Goldsmith P, Rowe D, Jäger R, Kapoor R (1998) Focal vertebral artery dissection causing Brown – Séquard`s syndrome. J Neurol Neurosurg Psychiatry 64:415–416

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  20. Urban P, Gawehn J, Ringel K (2005) “Man–in–the–barrel” syndrome. Clin Neuroradiol 15:190–194

    Article  Google Scholar 

  21. Pullicino P (1994) Bilateral upper limb amyotrophy and watershed infarcts from vertebral artery dissection. Stroke 25:1870–1872

    Article  PubMed  CAS  Google Scholar 

  22. Stapf C, Mohr JP, Straschill M, Mast H, Marx P (2000) Acute bilateral arm paresis. Cerebrovasc Dis 10:239–243

    Article  PubMed  CAS  Google Scholar 

  23. Berg D, Mullges W, Klotzenburg M, Bendszus M, Reiners K (1998) Man-in-the-barrel syndrome caused by cervical spinal cord infarction. Acta Neurol Scand 97:417–419

    Article  PubMed  CAS  Google Scholar 

  24. Yuh W, Marsh EE, Wang AK, Russel JW, Chiang F, Koci TM, Ryals TJ (1992) MR imaging of spinal cord and vertebral body infarction. AJNR Am J Neuroradiol 13:145–154

    PubMed  CAS  Google Scholar 

  25. Weidauer S, Dettmann E, Krakow K, Lanfermann H (2002) Diffusion-weighted MRI of spinal cord infarction – description of two cases and review of the literature. Nervenarzt 73:999–1003

    Article  PubMed  CAS  Google Scholar 

  26. Bammer R, Fazekas F, Augustin M, Simbrunner J, Strasser-Fuchs S, Seifert T, Stollberger R, Hartung HP (2000) Diffusion weighted MR imaging of the spinal cord. AJR Am J Neuroradiol 21:587–591

    CAS  Google Scholar 

  27. Lanfermann H, Pilatus U, Weidauer S (2004) Diffusion-weighted MRI of the spinal cord in spinal stroke. Riv Neuroradiol 17:309–313

    Google Scholar 

  28. Thurnher MM, Bammer R (2006) Diffusion-weighted MR imaging (DWI) in spinal cord ischemia. Neuroradiology 48:795–801

    Article  PubMed  Google Scholar 

  29. Marcel C, Kremer S, Jeantroux J, Blanc F, Dietemann JL, De Sèze J (2010) Diffusion-weighted imaging in noncompressive myelopathies: a 33-patient prospective study. J Neurol 257:1438–1445

    Article  PubMed  Google Scholar 

  30. Tanenbaum LN (2013) Clinical applications of diffusion imaging in the spine. Magn Reson Imaging Clin N Am 21:299–320

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefan Weidauer .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Weidauer, S., Nichtweiß, M., Berkefeld, J. (2015). Spinal Cord Infarction. In: Hattingen, E., Weidauer, S., Setzer, M., Klein, J., Vrionis, F. (eds) Diseases of the Spinal Cord. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54209-1_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54209-1_20

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54208-4

  • Online ISBN: 978-3-642-54209-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics