Skip to main content

Advertisement

SpringerLink
Log in

CT angiography of anterior spinal artery in cervical spondylotic myelopathy

  • Original Article
  • Published:
European Spine Journal Aims and scope Submit manuscript

Abstract

Purpose

To identify anterior spinal artery (ASA) infarct or occlusion by CT angiography (CTA) in patients with cervical spondylotic myelopathy (CSM).

Methods

Fourteen patients with CSM were performed CTA of ASA after admission. T2-weighted hyperintensity of MR image was compared with image of CTA of ASA.

Results

All patients presented spinal canal sagittal diameter compression from 10 to 80 % and different T2-weighted hyperintensity of MR images. No ASA infarct or occlusion was found in CSM patients.

Conclusion

ASA infarct or occlusion is not commonly seen in CSM patients with spinal canal sagittal diameter compression less than 80 %. Pathological changes about T2-weighted hyperintensity of MR image in CSM have no close correlation with ASA infarct.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Yagi M, Ninomiya K, Kihara M, Horiuchi Y (2010) Long-term surgical outcome and risk factors in patients with cervical myelopathy and a change in signal intensity of intramedullary spinal cord on magnetic resonance imaging. J Neurosurg Spine 12(1):59–65

    Article  PubMed  Google Scholar 

  2. Sandson TA, Friedman JH (1989) Spinal cord infarction: report of 8 cases and review of the literature. Medicine 68:282–292

    Article  PubMed  CAS  Google Scholar 

  3. Cheshire WP, Santos CC, Massey EW, Howard JF Jr (1996) Spinal cord infarction: etiology and outcome. Neurology 47:321–330

    Article  PubMed  CAS  Google Scholar 

  4. Novy J, Carruzzo A, Maeder P, Bogousslavsky J (2006) Spinal cord ischemia. Clinical and imaging patterns, pathogenesis, and outcomes in 27 patients. Arch Neurol 63:1113–1120

    Article  PubMed  Google Scholar 

  5. Fujikawa A, Tsuchiya K, Takeuchi S, Hachiya J (2004) Diffusion-weighted MR imaging in acute spinal cord ischemia. Eur Radiol 14:2076–2078

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  7. Yukawa Y, Kato F, Yoshihara H, Yanase M, Ito K (2007) MR T2 image classification in cervical compression myelopathy: predictor of surgical outcomes. Spine 32:1675–1678

    Article  PubMed  Google Scholar 

  8. DiTunno JF, Young W, Creasey G (1994) International standards for neurological and functional classification of spinal cord injury: revised 1992. Paraplegia 32:70–80

    Article  PubMed  Google Scholar 

  9. Thron A (2002) Vascular anatomy of the spine. Oxford University Press, Oxford

    Google Scholar 

  10. Krauss WE (1999) Vascular anatomy of the spinal cord. Neurosurg Clin N Am 10:9–15

    PubMed  CAS  Google Scholar 

  11. Savader SJ, Williams GM, Trerotola SO et al (1993) Preoperative spinal artery localization and its relationship to postoperative neurologic complications. Radiology 189:165–171

    PubMed  CAS  Google Scholar 

  12. Kieffer E, Fukui S, Chiras J et al (2002) Spinal cord arteriography: a safe adjunct before descending thoracic or thoracoabdominal aortic aneurysmectomy. J Vasc Surg 35:262–268

    Article  PubMed  Google Scholar 

  13. Nijenhuis RJ, Leiner T, Cornips EM et al (2004) Spinal cord feeding arteries at MR angiography for thoracoscopic spinal surgery: feasibility study and implications for surgical approach. Radiology 233:541–547

    Article  PubMed  Google Scholar 

  14. Robles LA (2007) Traumatic spinal cord infarction in a child: case report and review of literature. Surg Neurol 67(5):529–534

    Article  PubMed  Google Scholar 

  15. Sarikaya H, Tettenborn B (2006) Spinal cord infarction after weight lifting. Am J Emerg Med 24(3):352–355

    Article  Google Scholar 

  16. Baron EM, Young WF (2007) Cervical spondylotic myelopathy: a brief review of its pathophysiology, clinical course, and diagnosis. Neurosurgery 60:S35–S41

    Article  PubMed  Google Scholar 

  17. Ii Y, Maki T, Furuta T, Kuzuhara S (2009) Cervical spinal cord infarction in a patient with cervical spondylosis triggered by straining during bowel movement. J Clin Neurosci 16(1):106–107

    Article  PubMed  Google Scholar 

  18. Hughes JT, Brownell B (1964) Cervical spondylosis complicated by anterior spinal artery thrombosis. Neurology 14:1073–1077

    Article  PubMed  CAS  Google Scholar 

  19. Stapf C, Mohr JP, Straschill M, Mast H, Marx P (2000) Acute bilateral arm paresis. Cerebrovasc Dis 10(3):239–243

    Article  PubMed  CAS  Google Scholar 

  20. Zhang Z, Wang H, Zhou Y, Wang J (2013) Computed tomographic angiography of anterior spinal artery in acute cervical spinal cord injury. Spinal Cord. doi:10.1038/sc.2012.179 (Epub ahead of print)

    Google Scholar 

Download references

Conflict of interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Orthopedics, Xinqiao Hospital, Third Military Medical University, 183 Xinqiao Street, Shapingba District, Chongqing, 400037, China

    Zhengfeng Zhang & Honggang Wang

Authors
  1. Zhengfeng Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Honggang Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Zhengfeng Zhang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhang, Z., Wang, H. CT angiography of anterior spinal artery in cervical spondylotic myelopathy. Eur Spine J 22, 2515–2519 (2013). https://doi.org/10.1007/s00586-013-2874-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00586-013-2874-6

Keywords

Search

Navigation