Exertion-Induced Spinal Cord Infarction in a Middle-Aged Man: A Case Report.

IF 0.4 Q4 CLINICAL NEUROLOGY

Case Reports in Neurology Pub Date : 2025-10-03 eCollection Date: 2025-01-01 DOI:10.1159/000548591

Pemla Jagtiani, Ehsaun Heydari, Brian M Cameron

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Abstract

Introduction: Spinal cord infarction (SCI) is a relatively rare disorder, constituting 1-2% of ischemic strokes and 5-8% of all acute myelopathies.

Case presentation: Here we describe a case of SCI in a 49-year-old male with no prior neurological history that presented to the Emergency Department of Virginia Commonwealth University with sudden onset bilateral lower extremity paralysis, decreased sensation, and urinary retention after weightlifting. Spinal magnetic resonance imaging revealed anterior signal abnormality T8 down to conus medullaris, terminating at L1 compatible with SCI. T9-T10 moderate spinal stenosis, along with degenerative changes L5-S1, was seen. Abdominal CT angiography revealed no signs of aortic dissection and no evidence of intestinal ischemia. He was treated with gabapentin for neuropathic abdominal pain and aspirin.

Conclusion: This case represents an uncommon presentation of exertion-induced SCI. In patients with acute neurologic symptoms with absence of trauma, SCI should remain high on the differential.

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中年男子用力致脊髓梗塞1例。

脊髓梗死（SCI）是一种相对罕见的疾病，占缺血性中风的1-2%，占所有急性脊髓病的5-8%。病例介绍：我们在此报告一例脊髓损伤患者，49岁男性，无神经病史，在弗吉尼亚联邦大学急诊科就诊，举重后突然出现双侧下肢麻痹、感觉减退和尿潴留。脊髓磁共振成像显示前路信号异常T8向下至髓圆锥，终止于L1与脊髓损伤相容。T9-T10中度椎管狭窄伴L5-S1退行性改变。腹部CT血管造影未见主动脉夹层征象，无肠缺血迹象。他接受加巴喷丁治疗神经性腹痛和阿司匹林。结论：本病例为一罕见的劳力性脊髓损伤。在没有创伤的急性神经症状患者中，脊髓损伤应保持较高的鉴别率。

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来源期刊

Case Reports in Neurology Medicine-Neurology (clinical)

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

14 weeks

期刊介绍： This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.