eISSN: 2720-5371
ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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2/2024
vol. 33
 
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abstract:
Review paper

Spinal cord ischemia – from diagnosis to treatment

Małgorzata Wiszniewska
1, 2
,
Małgorzata Sankowska
3

  1. Stanisław Staszic University of Applied Sciences, Emergency Medical Service, Pila, Poland
  2. Department of Neurology and Stroke Unit, Specialist Hospital, Pila, Poland
  3. Medical Center Alergosan, Koszalin, Poland
Adv Psychiatry Neurol 2024; 33 (2): 93–97
Online publish date: 2024/07/11
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Purpose
The aim of the article is to outline the frequency of the occurrence, course, diagnosis and possible treatment of spinal cord ischemia (SCI) on the basis of a literature overview and to raise awareness of this rare yet devastating condition.

Views
SCI, when compared to cerebral stroke, is a relatively rare disease, being diagnosed 100 times less often. Our knowledge as to its root causes, proper treatment for it and long-term prognosis is still inconclusive. Magnetic resonance imaging with diffusion- weighted contrast is a main tool with which to confirm SCI and rule out a broad spectrum of possible alternative diagnoses. SCI is a condition in which prompt recognition, accurate diagnostic steps, and reperfusion therapy are essential to ensure a desirable functional outcome and reduce mortality and disability. Although there are no specific guidelines regarding treatment, the administration of rt-PA might be an effective therapy for acute ischemic stroke, preventing permanent spinal dysfunction. In surgical causes close cooperation between a neurologist and a neurosurgeon is necessary to provide combined appropriate management promptly.

Conclusions
Due to the relative rarity of SCI, multi-center studies of ischemia of the spinal cord and its treatment would be advisable in neurological practice to enhance current knowledge. A rapid diagnosis is crucial for appropriate care and desirable long-term outcomes.

keywords:

ischemic myelopathy, spinal cord ischemia, spinal cord infarction

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