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|Year : 2022 | Volume
| Issue : 4 | Page : 1760-1761
An Imaging Clue for Diagnosis of Spinal Cord Infarct
Ashok Vardhan Reddy Tallapalli1, Saraswati Nashi2, Mayank Shrivastava1, Srijithesh Rajendran3, Girish Baburao Kulkarni4, Suvarna Alladi4
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 Submission||13-Nov-2019|
|Date of Decision||12-Feb-2020|
|Date of Acceptance||30-Mar-2021|
|Date of Web Publication||30-Aug-2022|
Assistant Professor, NIMHANS, Faculty Block Ist Floor, 08026995142, Bangalore - 29, Karnataka
Source of Support: None, Conflict of Interest: None
|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
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.,
The following table includes a list of cases of spinal cord infarct with owl's eye appearance.,,
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There are no conflicts of interest.
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Harada K, Chiko Y, Toyokawa T. Anterior spinal cord syndrome- “owl's eye sign”. J Gen Fam Med 2018;19:63-4.
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[Figure 1], [Figure 2]