Infarction of the conus medullaris.

Abstract:

:We describe 5 patients who presented with an acute cauda equina syndrome, which we believe was due to infarction of the conus medullaris. In 3 patients, the onset was spontaneous, and in 2 patients it was secondary to temporary occlusion of the distal aorta during medical manipulation. Pain in the buttocks and posterior thighs was a prominent initial symptom in the 3 patients with unprovoked attacks. The main clinical features were profound impairment of bowel and bladder function and of perianal and perineal sensation (S3 to S5 segments). There was sensory and motor impairment in the legs of variable extent, most marked in the S1 and S2 segments, but extending as high as L4 in 2 patients. In 1 patient, ischemic changes in the conus medullaris were confirmed post mortem. Ischemia confined to the caudal tip of the spinal cord is rare, and an underlying anomaly of the pattern of arterial supply is a likely predisposing factor. Four patients had partial return of function over a period of weeks.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Anderson NE,Willoughby EW

doi

10.1002/ana.410210510

subject

Has Abstract

pub_date

1987-05-01 00:00:00

pages

470-4

issue

5

eissn

0364-5134

issn

1531-8249

journal_volume

21

pub_type

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