Spinal cord infarct

Case contributed by Zentout Sofiane
Diagnosis almost certain

Presentation

Acute paraplegia

Patient Data

Age: 50 years
Gender: Male
mri

There is an increased T2 signal in the central grey matter, with diffusion restriction and without enhancement, involving the lower spinal cord and conus medullaris, at T10, T11, and T12 levels.

In the T2-weighted axial image, there are bilateral symmetric well-circumscribed ovoid foci of high signal in the anterior horn (owl-eyes sign).

Case Discussion

Rapid onset paraplegia and hypersignal in the lower spinal cord with owl-eyes sign suggest spinal cord infarct.

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