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Spontaneous spinal cord syndromes often remain etiologically ambiguous despite extensive diagnostic efforts.1 Acute onset is typical for arterial ischemic events, although progressive evolution has also been reported.2 Diagnosing an arterial spinal cord ischemia is even more difficult if the resulting symptomatology differs from the well-known syndromes. MRI showing vertebral body infarction can confirm an ischemic lesion in such cases.1–7⇓⇓⇓⇓⇓⇓ We report a patient with a thoracolumbar spinal cord ischemia and infarction of the degenerated T11/T12 intervertebral disk and a T10 vertebral body infarction.
Case report.
A 68-year-old obese man developed sudden pain in the left lumbar region. Hours later he experienced numbness and weakness of the left and later of the right lower extremity, as well as urinary retention and perianal hypesthesia. From his medical history, arterial hypertension, diabetes mellitus, hyperlipidemia, and hypothyroidism were known.
The patient could not walk or stand unaided. Muscle strength and deep tendon reflexes were normal in upper extremities. Muscle strength of the left lower extremity …
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