脊髓梗塞(SCI)是一种罕见的中风类型。最初的磁共振成像(MRI)通常是正常的,可以模拟急性横贯性脊髓炎(ATM)的表现,急性炎性脱髓鞘性多发性神经病,和肿瘤引起的压迫性脊髓病,硬膜外或硬膜下血肿,或脓肿。本报告的目的是描述和讨论SCI患者的病例,该患者表现为急性横贯性脊髓炎的诊断混乱。一名64岁的男性,有高血压病史,伴有急性尿潴留,下肢无力。根据最初的MRI和评估,诊断为急性横贯性脊髓炎。尽管进行了彻底的评估,横贯性脊髓炎的病因尚未确定。因此,重复进行胸椎MRI检查,显示椎体片状增强,特征提示脊髓和椎体梗塞。因此,需要重复MRI才能做出准确的诊断.椎体始终受累,并且可以具有诊断意义,因为它反映了潜在血液供应的病理学。
Spinal cord infarction (SCI) is a rare type of stroke. The initial magnetic resonance imaging (MRI) is usually normal and can mimic the presentation of the acute transverse myelitis (ATM), acute inflammatory demyelinating polyneuropathy, and compressive myelopathies from neoplasm, epidural or subdural hematoma, or abscess. The aim of this report is to describe and discuss the case of a patient with SCI presenting as a diagnostic confusion with acute transverse myelitis. A 64-year-old male with a medical history of hypertension presented with an acute onset of urinary retention with lower limb weakness. Based on the initial MRI and evaluation, a diagnosis of acute transverse myelitis was made. Despite thorough evaluation, the etiology of transverse myelitis was undetermined. Hence, the MRI of the thoracic spine was repeated which showed patchier enhancements of the vertebral body with features suggestive of the spinal cord and vertebral body infarction. Thus, a repeat MRI is required to make an accurate diagnosis. The vertebral body is always involved and can be of diagnostic significance as it reflects the pathology of underlying blood supply.