Anterior spinal artery syndrome

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Anterior spinal artery syndrome Classification and external resources
Arteries of the brain, brain stem and upper spinal cord (anterior spinal artery at bottom)
ICD-10	I65.8
ICD-9	433.8
DiseasesDB	33437
eMedicine	neuro/348
MeSH	D020759

Ischemia or infarction of the spinal cord in the distribution of the anterior spinal artery, which supplies the ventral two-thirds of the spinal cord and Medulla.

Contents 1 Causes 2 Presentation 3 Eponym 4 References

[edit] Causes

This condition is usually associated with Atherosclerosis of the aorta and may result from dissection of an Aortic aneurysm or rarely dissection of the anterior spinal artery.

[edit] Presentation

Clinical features include weakness and loss of pain and temperature sensation below the level of injury, with relative sparing of position and vibratory sensation.^[1]

[edit] Eponym

It is also known as "Beck's syndrome".^[2][3]

[edit] References

1. ^ Adams et al., Principles of Neurology, 6th ed, pp1249-50
2. ^ synd/755 at Who Named It
3. ^ K. Beck. Das Syndrom des Verschlusses der vorderen Spinalarterie. Deutsche Zeitschrift für Nervenheilkunde, 1951-1952, 167: 164-186.

v • d • e Cardiovascular disease: vascular disease - Circulatory system pathology (I60-I99, 430-459) Cerebrovascular diseases Intracranial hemorrhage: Extra-axial (Epidural, Subdural, Subarachnoid) - Cerebral/Intra-axial (Intraventricular, Intraparenchymal) Stroke/Brain ischemia: Vertebrobasilar insufficiency (Subclavian steal syndrome) - TIA Carotid artery stenosis - Cerebral aneurysm - Binswanger's disease - Moyamoya disease Anterior spinal artery syndrome Arteries, arterioles and capillaries Arterial occlusive disease: Arteriosclerosis (Atherosclerosis, Intermittent claudication, Atheroma) - Renal artery stenosis - Fibromuscular dysplasia - Degos disease Peripheral vascular disease: Raynaud's phenomenon/Raynaud's disease - Erythromelalgia Aneurysm (Aortic/Abdominal aortic) - Dissection (Aortic, Carotid, Vertebral) - Pseudoaneurysm Arteritis (Aortitis) - Buerger's disease Arteriovenous fistula - Hereditary hemorrhagic telangiectasia Nevus (Spider angioma) Veins Venous thrombosis/Phlebitis/Thrombophlebitis: Deep vein thrombosis - May-Thurner syndrome - Portal vein thrombosis - Budd-Chiari syndrome - Renal vein thrombosis - Paget-Schroetter disease - Post-thrombotic syndrome Varicose veins: Varicocele - Gastric varices - Portacaval anastomosis (Hemorrhoid, Esophageal varices, Caput medusae) Superior vena cava syndrome - Venous ulcer Arteries or veins Vasculitis - Thrombosis - Embolism (Pulmonary embolism, Cholesterol embolism) Lymphatic vessels/nodes Lymphadenitis - Lymphedema - Lymphangitis Blood pressure Hypertension: Hypertensive heart disease - Hypertensive nephropathy - Secondary hypertension (Renovascular hypertension) Hypotension: Orthostatic hypotension See also congenital (Q20-Q28, 745-747)

v • d • e Lesions of spinal cord and brain Spinal cord sensory: Sensory ataxia - Tabes dorsalis motor: Motor neurone disease mixed: Brown-Séquard syndrome - cord syndrome (Posterior, Anterior, Central/Syringomyelia) - Subacute combined degeneration of spinal cord (B12) Anterior spinal artery syndrome Brainstem Medulla (CN 8, 9, 10, 12) Lateral medullary syndrome/Wallenberg (PICA) - Medial medullary syndrome (ASA) Pons (CN 5, 6, 7, 8) Lateral pontine syndrome (AICA) - Millard-Gubler syndrome (lateral) - Medial pontine syndrome (basilar) - Foville's syndrome (dorsal, basilar) - Locked-In syndrome (ventral) - Internuclear ophthalmoplegia - One and a half syndrome Midbrain (CN 3, 4) Weber's syndrome (ventral peduncle, PCA) - Benedikt's syndrome (ventral tegmentum, PCA) - Parinaud's syndrome (dorsal, tumor) Cerebellum lateral (Dysmetria, Dysdiadochokinesia, Intention tremor) - medial (Cerebellar ataxia) Basal ganglia Chorea - Dystonia - Parkinson's disease Cortex ACA syndrome - MCA syndrome - PCA syndrome frontal lobe: Expressive aphasia - Abulia parietal lobe: Receptive aphasia - Hemispatial neglect - Gerstmann syndrome - Astereognosis occipital lobe: Balint's syndrome - Cortical blindness - Alexia without agraphia temporal lobe: Cortical deafness - Prosopagnosia Other Subclavian steal syndrome - Upper motor neurone lesion (Clasp-knife response) - Lower motor neurone lesion