What is ASA syndrome?

What is ASA syndrome?

Background Anterior spinal artery (ASA) syndrome results in motor palsy and dissociated sensory loss below the level of the lesion, accompanied by bladder dysfunction. When the cervical spine is involved, breathing disorders may be observed.

What happens when anterior spinal artery is blocked?

Loss of pain and temperature. Preservation of proprioception, vibratory sense, fine touch, and two-point discrimination. Autonomic dysfunction with hypotension, bradycardia, and impaired temperature regulation.

How do you recover from a spinal stroke?

Treatment for a spinal stroke will depend on the underlying cause. In cases of ischemic spinal stroke, a doctor will give the person medications to thin the blood and reduce the risk of blood clots. These are known as antiplatelet and anticoagulant drugs. They include common drugs, such as aspirin.

What is Brown sequard syndrome symptoms?

First symptoms are usually loss of the sensations of pain and temperature, often below the area of the trauma. There may also be loss of bladder and bowel control. Weakness and degeneration (atrophy) of muscles in the affected area may occur. Paralysis on the same side as that of the wound often occurs.

Is spinal cord ischemia reversible?

Reversal of the ischemia in many cases occurs intraoperatively, but if a patient arouses from anesthesia with any degree of weakness, a similar protocol is followed. E. SCI is associated with high morbidity and mortality, and patients require substantial supportive care.

What are the symptoms of spinal cord infarction?

(Ischemic Myelopathy) Spinal cord infarction usually results from ischemia originating in an extravertebral artery. Symptoms include sudden and severe back pain, followed immediately by rapidly progressive bilateral flaccid limb weakness and loss of sensation, particularly for pain and temperature. Diagnosis is by MRI.

Does induced hypotension cause infarction of the lumbar cord?

Four patients developed infarction of the lumbar cord as a result of induced hypotension. All patients showed a lesion in the territory of the artery of Adamkiewicz. The pathophysiology of the blood supply of the spinal cord is discussed, and in particular the anatomy of the artery of Adamkiewicz.

What is the pathophysiology of spinal cord infarction?

Spinal cord infarction usually results from ischemia originating in an extravertebral artery. Symptoms include sudden and severe back pain, followed immediately by rapidly progressive bilateral flaccid limb weakness and loss of sensation, particularly for pain and temperature. Diagnosis is by MRI.

What are the signs and symptoms of posterior spinal artery ischemia?

Posterior spinal artery ischemia is uncommon because of the extensive collateral network in the dorsal cord. Transverse cord infarction presents with flaccid weakness, and loss of all sensory modalities and autonomic control below the level of the lesion. Local pain or hyperesthesia is often reported at the level of the infarction.