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Isolated Spinal Cord Arteritis

  • Thomas E. Feasby (a1), Gary G. Ferguson (a1) and J.C.E. Kaufmann (a1)

Summary:

This patient presented as a subacute progressive cervical myelopathy and the differential diagnosis included cervical spondylotic myelopathy and intramedullary mass. Microscopically, vascular lesions plus a patchy myelomalacia indicated a vasculitis. However, there was no suggestion of a generalized vasculitis at autopsy and the only supporting laboratory study was a raised erythrocyte sedimentation rate. It would seem that a vasculitis similar to polyarteritis nodosa or other collagen disease may be confined to the spinal cord.

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Copyright

Corresponding author

Department of Pathology (Neuropathology), University Hospital, 339 Windermere Road, London, Ontario, Canada N6G 2K3

References

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Blackwood, W. (1958). Vascular disease of the spinal cord. Proceedings of the Royal Society of Medicine, 51, 543547.
Foix, C. and Alajouanine, T. (1926). La myelite necrotique subaigue: myelite centrale angeiohypertrophique a evolution progressive paraplegie amyotrophique lentement ascendente, d’abord spasmodique, puis flasque, s’accompagnant de dissociation albumino-cytologique. Revue Neurologique, 2, 142.
Jellinger, K. and Neumayer, E. (1962). Myelopathie progressive d’origine vasculaire: Contribution anatomo-clinique aux syndromes d’une hypovascularization chronique de la moelle. Acta Neurologica Psychiatrica (Belgium), 62, 944956.
Jellinger, K. (1967). Spinal cord arteriosclerosis and progressive vascular myelopathy. Journal of Neurology, Neurosurgery and Psychiatry, 30, 195206.
Mair, W.G.P. and Druckman, R. (1953). The pathology of spinal cord lesions and their relation to the clinical features in prolusion of cervical intervertebral discs. Brain, 76, 7091.

Isolated Spinal Cord Arteritis

  • Thomas E. Feasby (a1), Gary G. Ferguson (a1) and J.C.E. Kaufmann (a1)

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