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Acute Spinal Cord Infarction Presenting With Chest Pain and Neurogenic Shock: A Case Report.

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Citation: Journal of Emergency Medicine. 57(4):560-562, 2019 Oct.PMID: 31564444Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Bone Neoplasms/co [Complications] | *Infarction/et [Etiology] | *Spinal Cord/ab [Abnormalities] | Bone Neoplasms/et [Etiology] | Chest Pain/et [Etiology] | Emergency Service, Hospital/og [Organization & Administration] | Humans | Infarction/pp [Physiopathology] | Male | Middle Aged | Prostatic Neoplasms/co [Complications] | Tomography, X-Ray Computed/mt [Methods]Year: 2019 ISSN:

0736-4679

Name of journal: The Journal of emergency medicineAbstract: BACKGROUND: Spinal cord infarction (SCI) is rare, accounting for approximately 1% of strokes.CASE REPORT: We present the case of a 63-year-old male who presented to the emergency department (ED) with chest pain and acute-onset generalized weakness and was ultimately diagnosed with SCI secondary to suspected occlusion of the artery of Adamkiewicz. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: SCI may present diagnostic challenges, with its predilection for mimicking other major emergency conditions, such as acute aortic dissection, aortic aneurysm rupture, spinal cord compressive myelopathy, or transverse myelitis. Its consequences are often significantly disabling initially, though patients may experience subsequent clinical improvement. It is important to include SCI in the differential for patients with chest or back pain coupled with neurologic symptoms. Copyright (c) 2019 Elsevier Inc. All rights reserved.All authors: Davis JE, Wu AOriginally published: Journal of Emergency Medicine. 2019 Sep 26Fiscal year: FY2020Digital Object Identifier:

https://dx.doi.org/10.1016/j.jemermed.2019.06.038

Date added to catalog: 2019-10-14

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Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	31564444	Available		31564444

BACKGROUND: Spinal cord infarction (SCI) is rare, accounting for approximately 1% of strokes.

CASE REPORT: We present the case of a 63-year-old male who presented to the emergency department (ED) with chest pain and acute-onset generalized weakness and was ultimately diagnosed with SCI secondary to suspected occlusion of the artery of Adamkiewicz. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: SCI may present diagnostic challenges, with its predilection for mimicking other major emergency conditions, such as acute aortic dissection, aortic aneurysm rupture, spinal cord compressive myelopathy, or transverse myelitis. Its consequences are often significantly disabling initially, though patients may experience subsequent clinical improvement. It is important to include SCI in the differential for patients with chest or back pain coupled with neurologic symptoms. Copyright (c) 2019 Elsevier Inc. All rights reserved.

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