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Anterior spinal artery syndrome

MedGen UID:
65125
•Concept ID:
C0221069
•
Disease or Syndrome
Synonyms: Anterior Spinal Artery Syndrome; Syndrome, Anterior Spinal Artery
SNOMED CT: Beck's syndrome (282785008); Anterior spinal artery occlusion syndrome (282785008); Anterior spinal artery syndrome (282785008); Anterior cord syndrome (282785008)
 
Monarch Initiative: MONDO:0006650

Definition

Ischemic injury to anterior spinal cord due to occlusion of anterior spinal artery. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAnterior spinal artery syndrome

Professional guidelines

PubMed

Acute spontaneous spinal cord infarction: Utilisation of hyperbaric oxygen treatment, cerebrospinal fluid drainage and pentoxifylline.
Ashton C, Banham N, Needham M
Diving Hyperb Med 2020 Dec 20;50(4):325-331. doi: 10.28920/dhm50.4.325-331. PMID: 33325011Free PMC Article

Recent clinical studies

Etiology

Fibrocartilaginous embolism: a rare cause leading to spinal cord infarction?
Ciceri EF, Opancina V, Pellegrino C, Scarabelli A, Botturi AG, Bersano A, D'arrigo S, Erbetta A, Chiapparini L
Neurol Sci 2023 Jan;44(1):263-271. Epub 2022 Sep 17 doi: 10.1007/s10072-022-06398-w. PMID: 36114979
Long Segment Anterior Cervical Discectomy and Fusion, Including C2: Surgical Pearls and Review of Our Experience.
Spurgas MP, Entezami P, Thomas J, DiRisio DJ
Clin Spine Surg 2022 Feb 1;35(1):E13-E18. doi: 10.1097/BSD.0000000000001245. PMID: 34369912
Anterior spinal artery syndrome and aortic dissection.
Martínez-Quintana E, Gil-Guillén C, Rodríguez-González F
Cir Cir 2019;87(4):466-469. doi: 10.24875/CIRU.18000357. PMID: 31264980
Thrombolysis in anterior spinal artery syndrome.
Müller KI, Steffensen LH, Johnsen SH
BMJ Case Rep 2012 Sep 7;2012 doi: 10.1136/bcr-2012-006862. PMID: 22962400Free PMC Article
Anterior spinal artery syndrome after infrarenal abdominal aortic surgery.
Alpagut U, Dayioglu E
J Cardiovasc Surg (Torino) 2002 Dec;43(6):865-8. PMID: 12483181

Diagnosis

Fibrocartilaginous embolism as a cause of anterior spinal artery syndrome?
Nakstad I, Randjelovic I, Bergan H, Evensen K
Tidsskr Nor Laegeforen 2020 Mar 31;140(5) Epub 2020 Mar 30 doi: 10.4045/tidsskr.19.0261. PMID: 32238974
Anterior Spinal Artery Syndrome in a Patient with Cervical Spondylosis Demonstrated by CT Angiography.
Peng T, Zhang ZF
Orthop Surg 2019 Dec;11(6):1220-1223. Epub 2019 Nov 3 doi: 10.1111/os.12555. PMID: 31680448Free PMC Article
Anterior spinal artery syndrome and aortic dissection.
Martínez-Quintana E, Gil-Guillén C, Rodríguez-González F
Cir Cir 2019;87(4):466-469. doi: 10.24875/CIRU.18000357. PMID: 31264980
Anterior Spinal Artery Syndrome Following Coronary Artery Bypass Grafting: a Case Report.
Mirhosseini SM, Meghdadi S, Moghaddam AS
Braz J Cardiovasc Surg 2017 Mar-Apr;32(2):136-137. doi: 10.21470/1678-9741-2016-0039. PMID: 28492795Free PMC Article
Anterior spinal artery syndrome after infrarenal abdominal aortic surgery.
Alpagut U, Dayioglu E
J Cardiovasc Surg (Torino) 2002 Dec;43(6):865-8. PMID: 12483181

Therapy

Anterior Spinal Artery Syndrome Following Coronary Artery Bypass Grafting: a Case Report.
Mirhosseini SM, Meghdadi S, Moghaddam AS
Braz J Cardiovasc Surg 2017 Mar-Apr;32(2):136-137. doi: 10.21470/1678-9741-2016-0039. PMID: 28492795Free PMC Article
Systemic thrombolysis in anterior spinal artery syndrome: what has to be considered?
Koch M, Sepp D, Prothmann S, Poppert H, Seifert CL
J Thromb Thrombolysis 2016 Apr;41(3):511-3. doi: 10.1007/s11239-015-1281-8. PMID: 26386968
Mechanisms and prevention of anterior spinal artery syndrome following abdominal aortic surgery.
Aydin A
Angiol Sosud Khir 2015;21(1):155-64. PMID: 25757179
Anterior spinal artery syndrome: a rare complication of head and neck surgery.
Gadepalli C, Cardozo A, Loughran S
J Laryngol Otol 2010 Aug;124(8):936-8. Epub 2010 Mar 2 doi: 10.1017/S0022215110000101. PMID: 20193101
Anterior spinal artery syndrome after infrarenal abdominal aortic surgery.
Alpagut U, Dayioglu E
J Cardiovasc Surg (Torino) 2002 Dec;43(6):865-8. PMID: 12483181

Prognosis

Long Segment Anterior Cervical Discectomy and Fusion, Including C2: Surgical Pearls and Review of Our Experience.
Spurgas MP, Entezami P, Thomas J, DiRisio DJ
Clin Spine Surg 2022 Feb 1;35(1):E13-E18. doi: 10.1097/BSD.0000000000001245. PMID: 34369912
Anterior Spinal Artery Syndrome in a Patient with Cervical Spondylosis Demonstrated by CT Angiography.
Peng T, Zhang ZF
Orthop Surg 2019 Dec;11(6):1220-1223. Epub 2019 Nov 3 doi: 10.1111/os.12555. PMID: 31680448Free PMC Article
Anterior Spinal Artery Syndrome Following Coronary Artery Bypass Grafting: a Case Report.
Mirhosseini SM, Meghdadi S, Moghaddam AS
Braz J Cardiovasc Surg 2017 Mar-Apr;32(2):136-137. doi: 10.21470/1678-9741-2016-0039. PMID: 28492795Free PMC Article
Systemic thrombolysis in anterior spinal artery syndrome: what has to be considered?
Koch M, Sepp D, Prothmann S, Poppert H, Seifert CL
J Thromb Thrombolysis 2016 Apr;41(3):511-3. doi: 10.1007/s11239-015-1281-8. PMID: 26386968
Anterior spinal artery syndrome after infrarenal abdominal aortic surgery.
Alpagut U, Dayioglu E
J Cardiovasc Surg (Torino) 2002 Dec;43(6):865-8. PMID: 12483181

Clinical prediction guides

Fibrocartilaginous embolism: a rare cause leading to spinal cord infarction?
Ciceri EF, Opancina V, Pellegrino C, Scarabelli A, Botturi AG, Bersano A, D'arrigo S, Erbetta A, Chiapparini L
Neurol Sci 2023 Jan;44(1):263-271. Epub 2022 Sep 17 doi: 10.1007/s10072-022-06398-w. PMID: 36114979
Acute spontaneous spinal cord infarction: Utilisation of hyperbaric oxygen treatment, cerebrospinal fluid drainage and pentoxifylline.
Ashton C, Banham N, Needham M
Diving Hyperb Med 2020 Dec 20;50(4):325-331. doi: 10.28920/dhm50.4.325-331. PMID: 33325011Free PMC Article
Delayed onset of anterior spinal artery syndrome after repair of aortic coarctation.
Wilder MJ, Ng PP, Dailey AT
Spine (Phila Pa 1976) 2012 Nov 1;37(23):E1476-8. doi: 10.1097/BRS.0b013e31826b7954. PMID: 22858787
Spinal cord infarction: prognosis and recovery in a series of 36 patients.
Salvador de la Barrera S, Barca-Buyo A, Montoto-Marqués A, Ferreiro-Velasco ME, Cidoncha-Dans M, Rodriguez-Sotillo A
Spinal Cord 2001 Oct;39(10):520-5. doi: 10.1038/sj.sc.3101201. PMID: 11641795
Anterior spinal artery syndrome after aortic surgery in a child.
Servais LJ, Rivelli SK, Dachy BA, Christophe CD, Dan B
Pediatr Neurol 2001 Apr;24(4):310-2. doi: 10.1016/s0887-8994(01)00237-5. PMID: 11377109

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