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Anterior Spinal Artery Syndrome During the Postpartum Period

Anterior Spinal Artery Syndrome During the Postpartum Period Abstract To the Editor.— The anterior spinal artery syndrome is an unusual cause of myelopathy during pregnancy and the postpartum period. In 1938, Barré and D'Andrade reported a case of anterior spinal artery infarction involving the fourth and fifth thoracic cord segments occurring during the seventh month of pregnancy1 and confirmed at the time of necropsy. We have recently seen a similar case. Report of a Case.— A 26-year-old woman, on her 20th day post partum after her fourth uncomplicated pregnancy and delivery, felt a deep burning pain in the chest and back that spread rapidly to the legs. After ten minutes, she was unable to move her legs or to void. There had been no preceding illness, neurologic symptoms, or symptoms of collagen vascular disease.The blood pressure was 110/70 mm Hg and pulse rate 90 beats per minute. The chest was clear and the results of a cardiac References 1. Barré JA, D'Andrade C: Paraplegia par ramollissement aigu unisegmentaire de la moelle, surunne au cours de la grossesse . Rev Neurol 1938;69:133-135. 2. Steegman AT: Syndrome of the anterior spinal artery . Neurology 1952;2:15-35.Crossref 3. Moossy J: Vascular disease of the spinal cord , in Baker AB (ed): Clinical Neurology . Hagerstown, Md, Harper & Row Publishers Inc, 1976, vol 3, chap 34, pp 12-13. 4. Henson RA, Parsons M: Ischaemic lesions of the spinal cord . Q J Med 1967;36:205-222. 5. Cross JN, Castro PO, Jennett WB: Cerebral strokes associated with pregnancy and the puerperium . Br Med J 1968;3:214-218.Crossref 6. Amias AG: Vascular disease in pregnancy: Occlusion . J Obstet Gynecol Br Com 1970;77:312-325.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Anterior Spinal Artery Syndrome During the Postpartum Period

Archives of Neurology , Volume 38 (4) – Apr 1, 1981

Anterior Spinal Artery Syndrome During the Postpartum Period

Abstract

Abstract To the Editor.— The anterior spinal artery syndrome is an unusual cause of myelopathy during pregnancy and the postpartum period. In 1938, Barré and D'Andrade reported a case of anterior spinal artery infarction involving the fourth and fifth thoracic cord segments occurring during the seventh month of pregnancy1 and confirmed at the time of necropsy. We have recently seen a similar case. Report of a Case.— A 26-year-old woman, on her 20th day post partum...
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Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1981.00510040089020
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— The anterior spinal artery syndrome is an unusual cause of myelopathy during pregnancy and the postpartum period. In 1938, Barré and D'Andrade reported a case of anterior spinal artery infarction involving the fourth and fifth thoracic cord segments occurring during the seventh month of pregnancy1 and confirmed at the time of necropsy. We have recently seen a similar case. Report of a Case.— A 26-year-old woman, on her 20th day post partum after her fourth uncomplicated pregnancy and delivery, felt a deep burning pain in the chest and back that spread rapidly to the legs. After ten minutes, she was unable to move her legs or to void. There had been no preceding illness, neurologic symptoms, or symptoms of collagen vascular disease.The blood pressure was 110/70 mm Hg and pulse rate 90 beats per minute. The chest was clear and the results of a cardiac References 1. Barré JA, D'Andrade C: Paraplegia par ramollissement aigu unisegmentaire de la moelle, surunne au cours de la grossesse . Rev Neurol 1938;69:133-135. 2. Steegman AT: Syndrome of the anterior spinal artery . Neurology 1952;2:15-35.Crossref 3. Moossy J: Vascular disease of the spinal cord , in Baker AB (ed): Clinical Neurology . Hagerstown, Md, Harper & Row Publishers Inc, 1976, vol 3, chap 34, pp 12-13. 4. Henson RA, Parsons M: Ischaemic lesions of the spinal cord . Q J Med 1967;36:205-222. 5. Cross JN, Castro PO, Jennett WB: Cerebral strokes associated with pregnancy and the puerperium . Br Med J 1968;3:214-218.Crossref 6. Amias AG: Vascular disease in pregnancy: Occlusion . J Obstet Gynecol Br Com 1970;77:312-325.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Apr 1, 1981

References