Infarto medular: etiología, hallazgos radiológicos y factores pronósticos en una serie de 41 pacientes

El infarto medular es una entidad infrecuente y con elevada morbilidad. El diagnóstico puede resultar difícil y el tratamiento óptimo sigue siendo controvertido. Existen pocas series de casos publicadas. Estudio retrospectivo de infarto medular en un hospital terciario desde 1999 a 2020. Se evaluaro...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Neurología (Barcelona, Spain) Jg. 38; H. 6; S. 391 - 398
Hauptverfasser: Ros Castelló, V., Sánchez Sánchez, A., Natera Villalba, E., Gómez López, A., Parra, P., Rodríguez Jorge, F., Buisán Catevilla, J., García Barragán, N., Masjuan, J., Corral, I.
Format: Journal Article
Sprache:Spanisch
Veröffentlicht: Elsevier España, S.L.U 01.07.2023
Elsevier España
Schlagworte:
Cerebrovascular disease
Enfermedad cerebrovascular
Infarto medular
Magnetic resonance imaging
Prevención secundaria
Resonancia magnética
Secondary prevention
Spinal cord infarction
Resonancia magnética
Prevención secundaria
Magnetic resonance imaging
Secondary prevention
Infarto medular
Spinal cord infarction
Enfermedad cerebrovascular
Cerebrovascular disease
ISSN:0213-4853
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Abstract El infarto medular es una entidad infrecuente y con elevada morbilidad. El diagnóstico puede resultar difícil y el tratamiento óptimo sigue siendo controvertido. Existen pocas series de casos publicadas. Estudio retrospectivo de infarto medular en un hospital terciario desde 1999 a 2020. Se evaluaron la etiología, las características clínicas, radiológicas, terapéuticas y pronósticas. Se incluyeron 41 pacientes (58,5% varones, edad media 61±17 años). Treinta y un pacientes (75,6%) presentaban factores de riesgo vascular (FRV). Presentaron déficit motor (39, 95,1%), dolor (20, 48,8%), déficit sensitivo (33, 80,4%) y alteración autonómica (24, 58,5%). Se realizó resonancia magnética (RM) en 37 pacientes (90,2%). En los 12 pacientes con secuencias de difusión, esta estaba alterada en 10. La localización más afectada fue la dorsal (68,2%). Se realizó estudio vascular en 33 pacientes (80,4%). Las etiologías más frecuentes fueron disección aórtica en 6, ateroesclerosis demostrada en estudio vascular en 6, embolia fibrocartilaginosa en 6, posquirúrgico en 5 e hipotensión en 4. El mecanismo etiológico quedó sin filiar en 12 pacientes (29,3%), 9 presentaban FRV. Al final del periodo de seguimiento (mediana 24 meses, rango intercuartílico 3-70), 12 pacientes (29,2%) presentaban deambulación autónoma. La presencia de FRV y la paraparesia se asociaron significativamente a peor pronóstico (p<0,05). El infarto medular es una patología con una etiología variada, que en muchos de los pacientes queda sin resolver. El pronóstico funcional a largo plazo es malo y depende de las características basales del paciente y de la forma de presentación clínica. La RM, especialmente las secuencias de difusión, es útil en el diagnóstico precoz. Spinal cord infarction is a rare disease with a high rate of morbidity. Its diagnosis can be challenging and controversy remains regarding the best treatment. Few case series have been published. We conducted a retrospective review of cases of spinal cord infarction attended in a tertiary hospital from 1999 to 2020. Aetiology and clinical, imaging, and prognostic features were assessed. Forty-one patients (58.5% men, mean [standard deviation] age 61 [17] years) were included in the study. Thirty-one patients (75.6%) presented vascular risk factors. Motor deficits were recorded in 39 (95.1%), pain in 20 (48.8%), sensory deficits in 33 (80.4%), and autonomic dysfunction in 24 (58.5%). MRI was performed in 37 (90.2%) patients. Diffusion-weighted images were available for 12 patients, with 10 showing diffusion restriction. The thoracic region was the most frequently affected (68.2%). Vascular imaging studies were performed in 33 patients (80.4%). The most frequent aetiologies were aortic dissection (6 cases), atherosclerosis demonstrated by vascular imaging (6 cases), fibrocartilaginous embolism (6 cases), surgery (5 cases), and hypotension (4 cases). Aetiology was undetermined in 12 patients (29.3%), although 9 of these presented vascular risk factors. At the end of the follow-up period (median, 24 months; interquartile range, 3-70), 12 patients (29.2%) were able to walk without assistance. Vascular risk factors and paraparesis were significantly associated with poorer prognosis (P<.05). Spinal cord infarction may present diverse aetiologies, with the cause remaining undetermined in many patients. Long-term functional prognosis is poor, and depends on baseline characteristics and clinical presentation. MRI, and especially diffusion-weighted sequences, is useful for early diagnosis.
AbstractList Resumen: Introducción: El infarto medular es una entidad infrecuente y con elevada morbilidad. El diagnóstico puede resultar difícil y el tratamiento óptimo sigue siendo controvertido. Existen pocas series de casos publicadas. Métodos: Estudio retrospectivo de infarto medular en un hospital terciario desde 1999 a 2020. Se evaluaron la etiología, las características clínicas, radiológicas, terapéuticas y pronósticas. Resultados: Se incluyeron 41 pacientes (58,5% varones, edad media 61 ±17 años). Treinta y un pacientes (75,6%) presentaban factores de riesgo vascular (FRV). Presentaron déficit motor (39, 95,1%), dolor (20, 48,8%), déficit sensitivo (33, 80,4%) y alteración autonómica (24, 58,5%). Se realizó resonancia magnética (RM) en 37 pacientes (90,2%). En los 12 pacientes con secuencias de difusión, esta estaba alterada en 10. La localización más afectada fue la dorsal (68,2%). Se realizó estudio vascular en 33 pacientes (80,4%). Las etiologías más frecuentes fueron disección aórtica en 6, ateroesclerosis demostrada en estudio vascular en 6, embolia fibrocartilaginosa en 6, posquirúrgico en 5 e hipotensión en 4. El mecanismo etiológico quedó sin filiar en 12 pacientes (29,3%), 9 presentaban FRV. Al final del periodo de seguimiento (mediana 24 meses, rango intercuartílico 3-70), 12 pacientes (29,2%) presentaban deambulación autónoma. La presencia de FRV y la paraparesia se asociaron significativamente a peor pronóstico (p < 0,05). Discusión: El infarto medular es una patología con una etiología variada, que en muchos de los pacientes queda sin resolver. El pronóstico funcional a largo plazo es malo y depende de las características basales del paciente y de la forma de presentación clínica. La RM, especialmente las secuencias de difusión, es útil en el diagnóstico precoz. Abstract: Introduction: Spinal cord infarction is a rare disease with a high rate of morbidity. Its diagnosis can be challenging and controversy remains regarding the best treatment. Few case series have been published. Methods: We conducted a retrospective review of cases of spinal cord infarction attended in a tertiary hospital from 1999 to 2020. Aetiology and clinical, imaging, and prognostic features were assessed. Results: Forty-one patients (58.5% men, mean [standard deviation] age 61 [17] years) were included in the study. Thirty-one patients (75.6%) presented vascular risk factors. Motor deficits were recorded in 39 (95.1%), pain in 20 (48.8%), sensory deficits in 33 (80.4%), and autonomic dysfunction in 24 (58.5%). MRI was performed in 37 (90.2%) patients. Diffusion-weighted images were available for 12 patients, with 10 showing diffusion restriction. The thoracic region was the most frequently affected (68.2%). Vascular imaging studies were performed in 33 patients (80.4%). The most frequent aetiologies were aortic dissection (6 cases), atherosclerosis demonstrated by vascular imaging (6 cases), fibrocartilaginous embolism (6 cases), surgery (5 cases), and hypotension (4 cases). Aetiology was undetermined in 12 patients (29.3%), although 9 of these presented vascular risk factors. At the end of the follow-up period (median, 24 months; interquartile range, 3-70), 12 patients (29.2%) were able to walk without assistance. Vascular risk factors and paraparesis were significantly associated with poorer prognosis (P < .05). Discussion: Spinal cord infarction may present diverse aetiologies, with the cause remaining undetermined in many patients. Long-term functional prognosis is poor, and depends on baseline characteristics and clinical presentation. MRI, and especially diffusion-weighted sequences, is useful for early diagnosis.
El infarto medular es una entidad infrecuente y con elevada morbilidad. El diagnóstico puede resultar difícil y el tratamiento óptimo sigue siendo controvertido. Existen pocas series de casos publicadas. Estudio retrospectivo de infarto medular en un hospital terciario desde 1999 a 2020. Se evaluaron la etiología, las características clínicas, radiológicas, terapéuticas y pronósticas. Se incluyeron 41 pacientes (58,5% varones, edad media 61±17 años). Treinta y un pacientes (75,6%) presentaban factores de riesgo vascular (FRV). Presentaron déficit motor (39, 95,1%), dolor (20, 48,8%), déficit sensitivo (33, 80,4%) y alteración autonómica (24, 58,5%). Se realizó resonancia magnética (RM) en 37 pacientes (90,2%). En los 12 pacientes con secuencias de difusión, esta estaba alterada en 10. La localización más afectada fue la dorsal (68,2%). Se realizó estudio vascular en 33 pacientes (80,4%). Las etiologías más frecuentes fueron disección aórtica en 6, ateroesclerosis demostrada en estudio vascular en 6, embolia fibrocartilaginosa en 6, posquirúrgico en 5 e hipotensión en 4. El mecanismo etiológico quedó sin filiar en 12 pacientes (29,3%), 9 presentaban FRV. Al final del periodo de seguimiento (mediana 24 meses, rango intercuartílico 3-70), 12 pacientes (29,2%) presentaban deambulación autónoma. La presencia de FRV y la paraparesia se asociaron significativamente a peor pronóstico (p<0,05). El infarto medular es una patología con una etiología variada, que en muchos de los pacientes queda sin resolver. El pronóstico funcional a largo plazo es malo y depende de las características basales del paciente y de la forma de presentación clínica. La RM, especialmente las secuencias de difusión, es útil en el diagnóstico precoz. Spinal cord infarction is a rare disease with a high rate of morbidity. Its diagnosis can be challenging and controversy remains regarding the best treatment. Few case series have been published. We conducted a retrospective review of cases of spinal cord infarction attended in a tertiary hospital from 1999 to 2020. Aetiology and clinical, imaging, and prognostic features were assessed. Forty-one patients (58.5% men, mean [standard deviation] age 61 [17] years) were included in the study. Thirty-one patients (75.6%) presented vascular risk factors. Motor deficits were recorded in 39 (95.1%), pain in 20 (48.8%), sensory deficits in 33 (80.4%), and autonomic dysfunction in 24 (58.5%). MRI was performed in 37 (90.2%) patients. Diffusion-weighted images were available for 12 patients, with 10 showing diffusion restriction. The thoracic region was the most frequently affected (68.2%). Vascular imaging studies were performed in 33 patients (80.4%). The most frequent aetiologies were aortic dissection (6 cases), atherosclerosis demonstrated by vascular imaging (6 cases), fibrocartilaginous embolism (6 cases), surgery (5 cases), and hypotension (4 cases). Aetiology was undetermined in 12 patients (29.3%), although 9 of these presented vascular risk factors. At the end of the follow-up period (median, 24 months; interquartile range, 3-70), 12 patients (29.2%) were able to walk without assistance. Vascular risk factors and paraparesis were significantly associated with poorer prognosis (P<.05). Spinal cord infarction may present diverse aetiologies, with the cause remaining undetermined in many patients. Long-term functional prognosis is poor, and depends on baseline characteristics and clinical presentation. MRI, and especially diffusion-weighted sequences, is useful for early diagnosis.
Author Rodríguez Jorge, F.
Natera Villalba, E.
Sánchez Sánchez, A.
Buisán Catevilla, J.
Masjuan, J.
García Barragán, N.
Gómez López, A.
Parra, P.
Corral, I.
Ros Castelló, V.
Author_xml – sequence: 1
  givenname: V.
  surname: Ros Castelló
  fullname: Ros Castelló, V.
  email: victoriaroscastello@gmail.com
– sequence: 2
  givenname: A.
  surname: Sánchez Sánchez
  fullname: Sánchez Sánchez, A.
– sequence: 3
  givenname: E.
  surname: Natera Villalba
  fullname: Natera Villalba, E.
– sequence: 4
  givenname: A.
  surname: Gómez López
  fullname: Gómez López, A.
– sequence: 5
  givenname: P.
  surname: Parra
  fullname: Parra, P.
– sequence: 6
  givenname: F.
  surname: Rodríguez Jorge
  fullname: Rodríguez Jorge, F.
– sequence: 7
  givenname: J.
  surname: Buisán Catevilla
  fullname: Buisán Catevilla, J.
– sequence: 8
  givenname: N.
  surname: García Barragán
  fullname: García Barragán, N.
– sequence: 9
  givenname: J.
  surname: Masjuan
  fullname: Masjuan, J.
– sequence: 10
  givenname: I.
  surname: Corral
  fullname: Corral, I.
BookMark eNqFkEtuFDEQhr0IEnlwAHY-ADPYbnu6G1Yo4jFSpGxgbVWXy4MHxx7ZHaThTqxyhLkYngxikUXwxqpf-n5VfRfsLOVEjL2WYimFXL3dLlOJSyVUm-VSSH3GzoWS3UIPpnvJLmrdCqHMqFfnLKyThzJnfkfuPkJ5x2kOOebN4Te84d8hRvi1yZUXcC0-PGwCtmnPPeCcC1W-KzkdHur8mFPi9wl4pRKIO-Ja8h1goDRTvWIvPMRKr_7-l-zbp49fr78sbm4_r68_3CxQmUEvAIzruqltPalJrRw532vyZmhPrno_SecQDOm-60GPqlOgcIDBOSMGqXx3ydanXpdha3cl3EHZ2wzBPga5bGw7OGAkO2j0vSLQGrUeEUEIPY2jMEZ1snfHLnnqwpJrLeT_9Ulhj67t1jbX9ujaSmnb1o3pnzAYZmhS01wgxGfJ9yeSmp6fgYqtR3dILhTCue0fnqXHJzTGkAJC_EH7_7B_AGoDs4s
CitedBy_id crossref_primary_10_1136_bmjno_2024_000754
crossref_primary_10_7759_cureus_30104
crossref_primary_10_17816_PTORS658670
Cites_doi 10.1111/j.1468-1331.2010.03200.x
10.1007/s11940-017-0464-3
10.33588/rn.2910.99089
10.1007/s00234-014-1464-6
10.1001/jamaneurol.2018.2734
10.1007/s00234-002-0828-5
10.1097/WCO.0b013e328341f8a5
10.1136/bcr-2012-006862
10.1161/01.STR.0000111598.78198.EC
10.1212/WNL.0b013e31823efc93
10.1007/s00234-006-0130-z
10.1159/000446700
10.1038/sj.sc.3101201
10.33588/rn.6606.2017391
10.1016/j.jns.2018.03.029
10.1007/s11239-015-1332-1
ContentType Journal Article
Copyright 2021 Sociedad Española de Neurología
Copyright_xml – notice: 2021 Sociedad Española de Neurología
DBID 6I.
AAFTH
AAYXX
CITATION
DOA
DOI 10.1016/j.nrl.2020.11.014
DatabaseName ScienceDirect Open Access Titles
Elsevier:ScienceDirect:Open Access
CrossRef
DOAJ Directory of Open Access Journals
DatabaseTitle CrossRef
DatabaseTitleList


Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
DocumentTitleAlternate Spinal cord infarction: aetiology, imaging findings, and prognostic factors in a series of 41 patients
EndPage 398
ExternalDocumentID oai_doaj_org_article_84cf72ea44c449cca004b990552317df
10_1016_j_nrl_2020_11_014
S0213485321000025
GroupedDBID 0R~
123
2WC
36B
4.4
457
65R
AAEDW
AALRI
AAXUO
AAYWO
ABJNI
ABMAC
ACGFS
ACVFH
ADCNI
ADCUG
ADVLN
AENEX
AEUPX
AEVXI
AFPUW
AFTJW
AIGII
AITUG
AKBMS
AKRWK
AKYEP
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
DIK
EBS
EJD
FDB
FIRID
GROUPED_DOAJ
HZ~
J1W
N9A
O9-
OK1
ROL
SES
SSZ
Z7D
0SF
6I.
AACTN
AAFTH
NCXOZ
AAYXX
CITATION
ID FETCH-LOGICAL-c2584-aa5d33b014b2b26dedf74ef58888167fb1ddca5e4737a49232a2c8a8dd50812f3
IEDL.DBID DOA
ISSN 0213-4853
IngestDate Fri Oct 03 12:37:58 EDT 2025
Tue Nov 18 22:00:51 EST 2025
Thu Oct 09 00:24:55 EDT 2025
Thu Jul 20 20:06:58 EDT 2023
Tue Aug 26 16:33:36 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 6
Keywords Resonancia magnética
Prevención secundaria
Magnetic resonance imaging
Secondary prevention
Infarto medular
Spinal cord infarction
Enfermedad cerebrovascular
Cerebrovascular disease
Language Spanish
License This is an open access article under the CC BY-NC-ND license.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c2584-aa5d33b014b2b26dedf74ef58888167fb1ddca5e4737a49232a2c8a8dd50812f3
OpenAccessLink https://doaj.org/article/84cf72ea44c449cca004b990552317df
PageCount 8
ParticipantIDs doaj_primary_oai_doaj_org_article_84cf72ea44c449cca004b990552317df
crossref_primary_10_1016_j_nrl_2020_11_014
crossref_citationtrail_10_1016_j_nrl_2020_11_014
elsevier_sciencedirect_doi_10_1016_j_nrl_2020_11_014
elsevier_clinicalkey_doi_10_1016_j_nrl_2020_11_014
PublicationCentury 2000
PublicationDate July-August 2023
2023-07-00
2023-07-01
PublicationDateYYYYMMDD 2023-07-01
PublicationDate_xml – month: 07
  year: 2023
  text: July-August 2023
PublicationDecade 2020
PublicationTitle Neurología (Barcelona, Spain)
PublicationYear 2023
Publisher Elsevier España, S.L.U
Elsevier España
Publisher_xml – name: Elsevier España, S.L.U
– name: Elsevier España
References Zalewski, Rabinstein, Krecke, Brown, Wijdicks, Weinshenker (bib0110) 2018; 388
Castro-Vilanova, de Toledo, Mateos-Beato, Simón (bib0125) 1999; 29
Salvador de la Barrera, Barca-Buyo, Montoto-Marques, Ferreiro- Velasco, Cidoncha-Dans, Rodriguez-Sotillo (bib0175) 2001; 39
Acebrón, Martínez-Ulloa, de Felipe, Alonso-Cánovas, Masjuán (bib0140) 2018; 66
Thurner, Bammer (bib0135) 2006; 48
Sugiura, Oshima, Abe, Narita, Araki, Fujimoto (bib0165) 2017; 24
Mateen, Monrad, Leep Hunderfund, Robertson, Sorenson (bib0145) 2011; 18
Romi, Naess (bib0170) 2016; 76
Restrepo, Guttin (bib0160) 2006; 33
Nasr, Rabinstein (bib0095) 2017; 19
Weidauer, Nichtweiss, Hattingen, Berkefeld (bib0120) 2015; 57
Muller, Steffensen, Johnsen (bib0155) 2012; 2012
Olivot, Albers, Diffusion-perfusion (bib0130) 2011; 24
Robertson, Brown, Wijdicks, Rabinstein (bib0105) 2012; 78
Weidauer, Nichtweiss, Lanfermann, Zanella (bib0115) 2002; 44
Etgen, Hocherl (bib0150) 2016; 42
Nedeltchev, Loher, Stepper, Arnold, Schroth, Mattle (bib0180) 2004; 35
Zalewski, Rabinstein, Krecke, Brown, Wijdicks, Weinshenker (bib0100) 2019; 76
Romi (10.1016/j.nrl.2020.11.014_bib0170) 2016; 76
Salvador de la Barrera (10.1016/j.nrl.2020.11.014_bib0175) 2001; 39
Weidauer (10.1016/j.nrl.2020.11.014_bib0115) 2002; 44
Olivot (10.1016/j.nrl.2020.11.014_bib0130) 2011; 24
Sugiura (10.1016/j.nrl.2020.11.014_bib0165) 2017; 24
Zalewski (10.1016/j.nrl.2020.11.014_bib0100) 2019; 76
Thurner (10.1016/j.nrl.2020.11.014_bib0135) 2006; 48
Etgen (10.1016/j.nrl.2020.11.014_bib0150) 2016; 42
Castro-Vilanova (10.1016/j.nrl.2020.11.014_bib0125) 1999; 29
Acebrón (10.1016/j.nrl.2020.11.014_bib0140) 2018; 66
Nedeltchev (10.1016/j.nrl.2020.11.014_bib0180) 2004; 35
Nasr (10.1016/j.nrl.2020.11.014_bib0095) 2017; 19
Robertson (10.1016/j.nrl.2020.11.014_bib0105) 2012; 78
Weidauer (10.1016/j.nrl.2020.11.014_bib0120) 2015; 57
Mateen (10.1016/j.nrl.2020.11.014_bib0145) 2011; 18
Restrepo (10.1016/j.nrl.2020.11.014_bib0160) 2006; 33
Muller (10.1016/j.nrl.2020.11.014_bib0155) 2012; 2012
Zalewski (10.1016/j.nrl.2020.11.014_bib0110) 2018; 388
References_xml – volume: 19
  start-page: 28
  year: 2017
  ident: bib0095
  article-title: Spinal cord infarcts: risk factors, management and prognosis
  publication-title: Curr Treat Options Neurol.
– volume: 76
  start-page: 56
  year: 2019
  end-page: 63
  ident: bib0100
  article-title: Characteristics of spontaneous spinal cord infarction and proposed diagnostic criteria
  publication-title: JAMA Neurol.
– volume: 2012
  year: 2012
  ident: bib0155
  article-title: Thrombolysis in anterior spinal artery syndrome
  publication-title: BMJ Case Rep.
– volume: 39
  start-page: 520
  year: 2001
  end-page: 525
  ident: bib0175
  article-title: Spinal cord infarction: prognosis and recovery in a series of 36 patients
  publication-title: Spinal Cord.
– volume: 388
  start-page: 162
  year: 2018
  end-page: 167
  ident: bib0110
  article-title: Spinal cord infarction: Clinical and imaging insights from the periprocedural setting
  publication-title: J Neurol Sci.
– volume: 48
  start-page: 795
  year: 2006
  end-page: 801
  ident: bib0135
  article-title: Diffusion-weighted MR imaging (DWI) in spinal cord ischemia
  publication-title: Neuroradiology.
– volume: 57
  start-page: 241
  year: 2015
  end-page: 257
  ident: bib0120
  article-title: Spinal cord ischemia: aetiology, clinical syndromes and imaging features
  publication-title: Neuroradiology.
– volume: 44
  start-page: 851
  year: 2002
  end-page: 857
  ident: bib0115
  article-title: Spinal cord infarction: MR imaging and clinical features in 16 cases
  publication-title: Neuroradiology
– volume: 33
  start-page: 74
  year: 2006
  end-page: 77
  ident: bib0160
  article-title: Acute spinal cord ischemia during aortography treated with intravenous thrombolytic therapy
  publication-title: Tex Heart Inst J.
– volume: 35
  start-page: 560
  year: 2004
  end-page: 565
  ident: bib0180
  article-title: Long-term outcome of acute spinal cord ischemia syndrome
  publication-title: Stroke.
– volume: 42
  start-page: 142
  year: 2016
  end-page: 145
  ident: bib0150
  article-title: Repeated early thrombolysis in cervical spinal cord ischemia
  publication-title: J Thromb Thrombolysis.
– volume: 76
  start-page: 95
  year: 2016
  end-page: 98
  ident: bib0170
  article-title: Spinal Cord Infarction in Clinical Neurology: A review of characteristics and long-term prognosis in comparison to cerebral infarction
  publication-title: Eur Neurol.
– volume: 24
  start-page: 44
  year: 2011
  end-page: 49
  ident: bib0130
  article-title: For triaging transient ischemic attack and acute cerebrovascular syndromes
  publication-title: Curr Opin Neurol.
– volume: 18
  start-page: 218
  year: 2011
  end-page: 225
  ident: bib0145
  article-title: Clinically suspected fibrocartilaginous embolism: clinical characteristics, treatments, and outcomes
  publication-title: Eur J Neurol.
– volume: 24
  start-page: 609
  year: 2017
  end-page: 614
  ident: bib0165
  article-title: The efficacy and risk of cerebrospinal fluid drainage for thoracoabdominal aortic aneurysm repair: a retrospective observational comparison between drainage and non-drainage dagger
  publication-title: Interact Cardiovasc Thorac Surg.
– volume: 78
  start-page: 114
  year: 2012
  end-page: 121
  ident: bib0105
  article-title: Recovery after spinal cord infarcts Long-term outcome in 115 patients
  publication-title: Neurology.
– volume: 66
  start-page: 210
  year: 2018
  end-page: 211
  ident: bib0140
  article-title: Infarto medular y de cuerpos vertebrales cervicales tras consumo de sildenafilo
  publication-title: Rev Neurol.
– volume: 29
  start-page: 977
  year: 1999
  end-page: 980
  ident: bib0125
  article-title: Isquemia-infarto medular
  publication-title: Rev Neurol.
– volume: 18
  start-page: 218
  year: 2011
  ident: 10.1016/j.nrl.2020.11.014_bib0145
  article-title: Clinically suspected fibrocartilaginous embolism: clinical characteristics, treatments, and outcomes
  publication-title: Eur J Neurol.
  doi: 10.1111/j.1468-1331.2010.03200.x
– volume: 19
  start-page: 28
  year: 2017
  ident: 10.1016/j.nrl.2020.11.014_bib0095
  article-title: Spinal cord infarcts: risk factors, management and prognosis
  publication-title: Curr Treat Options Neurol.
  doi: 10.1007/s11940-017-0464-3
– volume: 29
  start-page: 977
  year: 1999
  ident: 10.1016/j.nrl.2020.11.014_bib0125
  article-title: Isquemia-infarto medular
  publication-title: Rev Neurol.
  doi: 10.33588/rn.2910.99089
– volume: 57
  start-page: 241
  year: 2015
  ident: 10.1016/j.nrl.2020.11.014_bib0120
  article-title: Spinal cord ischemia: aetiology, clinical syndromes and imaging features
  publication-title: Neuroradiology.
  doi: 10.1007/s00234-014-1464-6
– volume: 76
  start-page: 56
  year: 2019
  ident: 10.1016/j.nrl.2020.11.014_bib0100
  article-title: Characteristics of spontaneous spinal cord infarction and proposed diagnostic criteria
  publication-title: JAMA Neurol.
  doi: 10.1001/jamaneurol.2018.2734
– volume: 33
  start-page: 74
  year: 2006
  ident: 10.1016/j.nrl.2020.11.014_bib0160
  article-title: Acute spinal cord ischemia during aortography treated with intravenous thrombolytic therapy
  publication-title: Tex Heart Inst J.
– volume: 44
  start-page: 851
  year: 2002
  ident: 10.1016/j.nrl.2020.11.014_bib0115
  article-title: Spinal cord infarction: MR imaging and clinical features in 16 cases
  publication-title: Neuroradiology
  doi: 10.1007/s00234-002-0828-5
– volume: 24
  start-page: 44
  year: 2011
  ident: 10.1016/j.nrl.2020.11.014_bib0130
  article-title: For triaging transient ischemic attack and acute cerebrovascular syndromes
  publication-title: Curr Opin Neurol.
  doi: 10.1097/WCO.0b013e328341f8a5
– volume: 2012
  year: 2012
  ident: 10.1016/j.nrl.2020.11.014_bib0155
  article-title: Thrombolysis in anterior spinal artery syndrome
  publication-title: BMJ Case Rep.
  doi: 10.1136/bcr-2012-006862
– volume: 35
  start-page: 560
  year: 2004
  ident: 10.1016/j.nrl.2020.11.014_bib0180
  article-title: Long-term outcome of acute spinal cord ischemia syndrome
  publication-title: Stroke.
  doi: 10.1161/01.STR.0000111598.78198.EC
– volume: 78
  start-page: 114
  year: 2012
  ident: 10.1016/j.nrl.2020.11.014_bib0105
  article-title: Recovery after spinal cord infarcts Long-term outcome in 115 patients
  publication-title: Neurology.
  doi: 10.1212/WNL.0b013e31823efc93
– volume: 48
  start-page: 795
  year: 2006
  ident: 10.1016/j.nrl.2020.11.014_bib0135
  article-title: Diffusion-weighted MR imaging (DWI) in spinal cord ischemia
  publication-title: Neuroradiology.
  doi: 10.1007/s00234-006-0130-z
– volume: 76
  start-page: 95
  year: 2016
  ident: 10.1016/j.nrl.2020.11.014_bib0170
  article-title: Spinal Cord Infarction in Clinical Neurology: A review of characteristics and long-term prognosis in comparison to cerebral infarction
  publication-title: Eur Neurol.
  doi: 10.1159/000446700
– volume: 39
  start-page: 520
  year: 2001
  ident: 10.1016/j.nrl.2020.11.014_bib0175
  article-title: Spinal cord infarction: prognosis and recovery in a series of 36 patients
  publication-title: Spinal Cord.
  doi: 10.1038/sj.sc.3101201
– volume: 66
  start-page: 210
  year: 2018
  ident: 10.1016/j.nrl.2020.11.014_bib0140
  article-title: Infarto medular y de cuerpos vertebrales cervicales tras consumo de sildenafilo
  publication-title: Rev Neurol.
  doi: 10.33588/rn.6606.2017391
– volume: 388
  start-page: 162
  year: 2018
  ident: 10.1016/j.nrl.2020.11.014_bib0110
  article-title: Spinal cord infarction: Clinical and imaging insights from the periprocedural setting
  publication-title: J Neurol Sci.
  doi: 10.1016/j.jns.2018.03.029
– volume: 42
  start-page: 142
  year: 2016
  ident: 10.1016/j.nrl.2020.11.014_bib0150
  article-title: Repeated early thrombolysis in cervical spinal cord ischemia
  publication-title: J Thromb Thrombolysis.
  doi: 10.1007/s11239-015-1332-1
– volume: 24
  start-page: 609
  year: 2017
  ident: 10.1016/j.nrl.2020.11.014_bib0165
  article-title: The efficacy and risk of cerebrospinal fluid drainage for thoracoabdominal aortic aneurysm repair: a retrospective observational comparison between drainage and non-drainage dagger
  publication-title: Interact Cardiovasc Thorac Surg.
SSID ssj0025946
Score 2.2203603
Snippet El infarto medular es una entidad infrecuente y con elevada morbilidad. El diagnóstico puede resultar difícil y el tratamiento óptimo sigue siendo...
Resumen: Introducción: El infarto medular es una entidad infrecuente y con elevada morbilidad. El diagnóstico puede resultar difícil y el tratamiento óptimo...
SourceID doaj
crossref
elsevier
SourceType Open Website
Enrichment Source
Index Database
Publisher
StartPage 391
SubjectTerms Cerebrovascular disease
Enfermedad cerebrovascular
Infarto medular
Magnetic resonance imaging
Prevención secundaria
Resonancia magnética
Secondary prevention
Spinal cord infarction
Title Infarto medular: etiología, hallazgos radiológicos y factores pronósticos en una serie de 41 pacientes
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0213485321000025
https://dx.doi.org/10.1016/j.nrl.2020.11.014
https://doaj.org/article/84cf72ea44c449cca004b990552317df
Volume 38
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  issn: 0213-4853
  databaseCode: DOA
  dateStart: 20170101
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://www.doaj.org/
  omitProxy: false
  ssIdentifier: ssj0025946
  providerName: Directory of Open Access Journals
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LS8NAEF6kiHgRn1hf7MGTGO0-0iTeVCwKWjwo9Bb2KRVJpWkF_U-e-hP6x5zJo9RLvXjMspudzE7mwc58Q8ixDl1LCe0CrD0IQCiSII6FDpj2UjMFv5gtcGbvo2437vWSx7lWX5gTVsIDl4w7j6XxEXdKSiNlAvvBqWpQoSFEUCyyHrUveD11MFWFWmFSluhwJgIJFqm-zywyu7Ih3jlwVBdnLSZ_WaQCuH_OMM0Zm846Wau8RHpZUrdBlly-SVYeqnvwLdK_yzyQPqBgyzCP9IK6UVF3Mv1WpxT7o6ivl0FOh8rC8HQC6g2ePmnZXcflFPRmNp0gRjOMu4yOM0VRGB21jkpGIZLGQkmXb5Pnzs3T9W1QNU0IDAdnIlAqtEJo-C7NNW9bZ30knQ8h0o1ZO_KaWWtU6GQkIoXobFxxE6vYWnDVGPdihzSyQeZ2CRXgDEmPkH1SSG5EImwb8WJsKHXLtEWTtGrGpaZCFMfGFm9pnTr2mgKvU-Q1RBop0NQkJ7Ml7yWcxqLJV3gas4mIhF0MgHyklXykf8lHk_D6LNO62BTUI7yov2hnOVtUeSKlh7F42d5_ELxPVrGlfZkSfEAao-HYHZJl8zHq58OjQsx_AFWLAEI
linkProvider Directory of Open Access Journals
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Infarto+medular%3A+etiolog%C3%ADa%2C+hallazgos+radiol%C3%B3gicos+y+factores+pron%C3%B3sticos+en+una+serie+de+41+pacientes&rft.jtitle=Neurolog%C3%ADa+%28Barcelona%2C+Spain%29&rft.au=Ros+Castell%C3%B3%2C+V.&rft.au=S%C3%A1nchez+S%C3%A1nchez%2C+A.&rft.au=Natera+Villalba%2C+E.&rft.au=G%C3%B3mez+L%C3%B3pez%2C+A.&rft.date=2023-07-01&rft.pub=Elsevier+Espa%C3%B1a%2C+S.L.U&rft.issn=0213-4853&rft.volume=38&rft.issue=6&rft.spage=391&rft.epage=398&rft_id=info:doi/10.1016%2Fj.nrl.2020.11.014&rft.externalDocID=S0213485321000025
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0213-4853&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0213-4853&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0213-4853&client=summon