BMJ Neurol Open, 2024 · DOI: 10.1136/bmjno-2024-000754 · Published: May 20, 2024
Spontaneous spinal cord infarction (SCInf) is a rare condition that can lead to acute neurological problems. There is currently no clear agreement on how to diagnose it, which can make it difficult for doctors. This review looks at existing studies on spontaneous SCInf, focusing on its causes, how it's diagnosed, treatment options, and how patients recover. The review found that vascular risk factors like high blood pressure and smoking are common in people with SCInf. MRI scans, especially with diffusion-weighted imaging (DWI), are helpful in confirming the diagnosis. Most patients are expected to regain the ability to walk, with or without assistance. This study highlights the need for more research to create standard diagnostic criteria and treatment guidelines for spontaneous SCInf. It also suggests a diagnostic and treatment approach, and underscores the need for further research in order to establish definitive diagnostic criteria and treatment strategies.
The use of DWI along with an MRI may help in confirming the diagnosis.
Pharmacological treatment with platelet aggregation inhibitors in the aftermath of spontaneous SCInf is recommended.
Specialized multidisciplinary rehabilitation services are needed with the capacity to manage patients in the long term.