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Table of Contents    
NEUROIMAGE
Year : 2022  |  Volume : 70  |  Issue : 4  |  Page : 1760-1761

An Imaging Clue for Diagnosis of Spinal Cord Infarct


1 SR Neurology, NIMHANS, Bengaluru, Karnataka, India
2 Assistant Professor, NIMHANS, Bengaluru, Karnataka, India
3 Additional Professor, NIMHANS, Bengaluru, Karnataka, India
4 Professor of Neurology, NIMHANS, Bengaluru, Karnataka, India

Date of Submission13-Nov-2019
Date of Decision12-Feb-2020
Date of Acceptance30-Mar-2021
Date of Web Publication30-Aug-2022

Correspondence Address:
Saraswati Nashi
Assistant Professor, NIMHANS, Faculty Block Ist Floor, 08026995142, Bangalore - 29, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.355184

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How to cite this article:
Reddy Tallapalli AV, Nashi S, Shrivastava M, Rajendran S, Kulkarni GB, Alladi S. An Imaging Clue for Diagnosis of Spinal Cord Infarct. Neurol India 2022;70:1760-1

How to cite this URL:
Reddy Tallapalli AV, Nashi S, Shrivastava M, Rajendran S, Kulkarni GB, Alladi S. An Imaging Clue for Diagnosis of Spinal Cord Infarct. Neurol India [serial online] 2022 [cited 2022 Oct 2];70:1760-1. Available from: https://www.neurologyindia.com/text.asp?2022/70/4/1760/355184




A 12-year-old girl presented with neck pain and sudden onset proximal weakness in both upper limbs, reduced pain over the right C5 area, absent biceps and supinator jerks, brisk triceps reflexes, intact posterior column sensations. MRI [Figure 1] showed pencil-thin hyperintensity in sagittal T2 and owl's eye appearance in axial DWI and T2. Immunological and hematological investigation for demyelination, infections, prothrombotic states were non-contributory. CT angiography and craniovertebral junction were normal. The patient improved within one week of admission and is going to school now. She is under regular follow-up. Imaging done after five months of illness shows a significant reduction of signal changes Improved [Figure 2].
Figure 1: Sagittal T2 shows pencil-thin hyperintensity from C2 to C5 in panel a, axial T2 and diffusion-weighted images show hyperintensities in anterior horns with Owl's eye appearance (b and c, respectively)

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Figure 2: Follow up MRI after 5 months shows significantly reduced T2 hyperintensities in sagittal (a) and axial view (b), without diffusion restriction (c)

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Owl's eye appearance in the spinal axial T2 MRI suggests anterior grey involvement. In an acute setting, it suggests anterior spinal artery infarct, provided viral infections are ruled out. Viral infections are ruled out.[1],[2]



The following table includes a list of cases of spinal cord infarct with owl's eye appearance.[3],[4],[5]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Romi F, Naess H. Spinal cord infarction in clinical neurology: A review of characteristics and long-term prognosis in comparison to cerebral infarction. Eur Neurol 2016;76:95-8.  Back to cited text no. 1
    
2.
Vargas MI, Gariani J, Sztajzel R, Barnaure-Nachbar I, Delattre BM, Lovblad KO, et al. Spinal cord ischemia: Practical imaging tips, pearls, and pitfalls. AJNR Am J Neuroradiol 2015;36:825-30.  Back to cited text no. 2
    
3.
Yadav N, Pendharkar H, Kulkarni GB. Spinal cord infarction: Clinical and radiological features. J Stroke Cerebrovasc Dis 2018;27:2810-21.  Back to cited text no. 3
    
4.
Harada K, Chiko Y, Toyokawa T. Anterior spinal cord syndrome- “owl's eye sign”. J Gen Fam Med 2018;19:63-4.  Back to cited text no. 4
    
5.
Ghosh PS, Mitra S. Owl's eye in spinal magnetic resonance imaging. Arch Neurol 2012;69:407-8.  Back to cited text no. 5
    


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