J Neurocrit Care.  2018 Dec;11(2):148-151. 10.18700/jnc.180071.

Thoracic Endovascular Repair of Spinal Cord Infarction Resulting from Impending Rupture of the Thoracic Aortic Aneurysm

• Kim SW
• Kim SH
• Kang SY
• Oh JH

• KMID: 2434844
• DOI: http://doi.org/10.18700/jnc.180071

Abstract

No abstract available.

MeSH Terms

Aortic Aneurysm, Thoracic*
Infarction*
Rupture*
Spinal Cord*

Figure

• 

  Figure 1. Initial findings of magnetic resolution imaging. T2-weighted sagittal views of the spinal cords showing diffuse high signal intensity with swelling (open arrowheads) from the T3 spinal cord to the conus medullaris (A, B). T2-weighted axial view at the T11 spinal cord (C), showing diffuse high signal intensity, involving the entire cross-section of the spinal cord (open arrow). Increased signal intensity in the mass-like lesion (closed arrow) in posterior wall of the distal thoracic aorta, revealing a penetrating aortic ulcer with heterogeneous signal intensity lesion, suggestive of surrounding hematoma (closed arrowheads) at the T10 level (D).

• 

  Figure 2. Findings of CTA. Initial CTA demonstrating a penetrating aortic ulcer (black arrow) with hematoma (white arrow), revealing impending rupture of the aorta (A) which is shown as an aneurysm (open arrow) on the 3D-image (B) at the of T10-11 spinal cord levels. Disappearance of penetrating aortic ulcer, and decreased size of aneurysm (open arrowhead) and hematoma (white arrowhead) on follow-up CTA one month after thoracic endovascular aortic repair (C, D). CTA, computed tomography angiography.

Reference

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