Highlights a rare case of spinal cord infarction caused by hypotension from an ascending aortic dissection without direct structural interference of spinal vasculature.
Spinal cord infarction may occur from hypotension in ascending aortic dissection; extends rare mechanistic reports but leaves open broader diagnostic implications.
A case of selective necrosis of the central grey matter of the caudal spinal cord secondary to severe prolonged hypotension is presented. The hypotension was due to localised dissection of the ascending aorta which did not interfere structurally with any of the spinal cord vasculature.
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Blumbergs et al. (1980) studied this question.
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