Publication Date
7-1-2024
Journal
Radiology Case Reports
DOI
10.1016/j.radcr.2024.03.034
PMID
38666145
PMCID
PMC11043780
PubMedCentral® Posted Date
4-17-2024
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
Spinal cord infarction, Watershed areas, Hypotension, Subacute spinal cord infarct
Abstract
Spinal cord watershed infarction is a rare phenomenon due to the rich collateral blood supply to the organ. It often occurs in elderly patients with preexisting atherosclerotic disease in the setting of global hypoperfusion, such as thoracoabdominal surgery, dissection, coagulopathies, or idiopathic. We present a case of spinal cord infarction (SCI) in both longitudinal and transverse watershed areas as a complication of postoperative blood loss. In addition, we demonstrate the imaging evolution of spinal cord infarct in the subacute phase with peripheral enhancement due to the breakdown of the blood-spinal cord barrier.