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.
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Turnbull IM, Brieg A, Hassler O (1966) Blood supply of cervical spinal cord in man. A microangiographic cadaver study. J Neurosurg 24:951–965
Thron A (ed) (1989) Vascularisation of the spinal cord. Springer, Wien, New York
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
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
Jellinger KA (1997) Spinal cord watershed. Neurology 48:1474
Gelfan S, Tarlov IM (1955) Differential vulnerability of spinal cord structures to anoxia. J Neurophysiol 18:170–188
Weidauer S, Nichtweiss M, Lanfermann H, Zanella FE (2002) Spinal cord infarction: MR imaging and clinical features in 16 cases. Neuroradiology 44:851–857
Weidauer S, Gartenschläger M, Claus D (1999) Spinal sulcal artery syndrome due to bilateral vertebral artery dissection. J Neurol Neurosurg Psychiatry 67:550–551
Mull M (2005) Acute spinal cord ischemia: diagnosis without therapeutic options? Clin Neuroradiol 15:79–88
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
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
Mikulis DJ, Ogilvy S, McKee A, Davis KR, Ojeman RG (1992) Spinal cord infarction and fibrocartilaginous emboli. AJNR Am J Neuroradiol 13:155–160
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
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
Bergqvist C, Goldberg HI, Thorarensen O, Bird SJ (1997) Posterior cervical spinal cord infarction following vertebral artery dissection. Neurology 48:1112–1115
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
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
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
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
Urban P, Gawehn J, Ringel K (2005) “Man–in–the–barrel” syndrome. Clin Neuroradiol 15:190–194
Pullicino P (1994) Bilateral upper limb amyotrophy and watershed infarcts from vertebral artery dissection. Stroke 25:1870–1872
Stapf C, Mohr JP, Straschill M, Mast H, Marx P (2000) Acute bilateral arm paresis. Cerebrovasc Dis 10:239–243
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
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
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
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
Lanfermann H, Pilatus U, Weidauer S (2004) Diffusion-weighted MRI of the spinal cord in spinal stroke. Riv Neuroradiol 17:309–313
Thurnher MM, Bammer R (2006) Diffusion-weighted MR imaging (DWI) in spinal cord ischemia. Neuroradiology 48:795–801
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
Tanenbaum LN (2013) Clinical applications of diffusion imaging in the spine. Magn Reson Imaging Clin N Am 21:299–320
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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
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