Document Detail


Massive spinal cord infarction with multiple paradoxical embolism: a case report.
MedLine Citation:
PMID:  8442536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A sixty-seven-year-old man suffered from acute anterior spinal artery syndrome at the level of T-10. Transverse myelopathy developed by the eighth day. Computed tomography of the brain on the thirteenth day demonstrated hemorrhagic infarction in the left occipital lobe and fresh ischemic infarction in the right cerebellar hemisphere. Respiratory distress was the cause of death on the fifteenth day. Autopsy study showed severe ischemic necrosis of the spinal cord below T-10, and multiple infarcted lesions in the brain, lung, kidney, and heart. Saddle thromboembolism of the bilateral trunk of the pulmonary artery was the major cause of his death. Deep venous thrombosis in the pelvis was disclosed to be the primary source of multiple paradoxical embolisms through the patent foramen ovale.
Authors:
S Mori; S Sadoshima; K Tagawa; K Iino; M Fujishima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  44     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-03-31     Completed Date:  1993-03-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  251-6     Citation Subset:  IM    
Affiliation:
Fukuoka Higashi National Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Embolism* / etiology,  pathology
Humans
Infarction* / etiology,  pathology,  radiography
Male
Spinal Cord / blood supply*

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