Spinal cord infarction (SCI) is an uncommon condition with a generally poor prognosis for neurologic recovery. There are numerous possible causes for SCI, yet frequently the etiology is not fully elucidated. Literature regarding SCI is sparse, with no conclusive algorithmic strategies for diagnosis and treatment. This case report describes the hospital course of a male in his seventh decade of life who presented to our emergency department with acute onset of bilateral lower extremity paralysis and intense lower back pain due to an SCI at the T4 spinal level.
Milano et al. (Thu,) studied this question.