🧬 641.3 · Spinal Cord Lesions Associated with Vascular Processes

Nelson Textbook of Pediatrics 22nd Edition | Vascular causes of acute myelopathy: spinal cord infarction (fibrocartilaginous embolism, aortic pathology, vertebral artery dissection), spinal arteriovenous malformations (AVM), vasculitis (SLE, Behçet, PAN, Takayasu). Clinical: acute-onset paraplegia or quadriplegia, sensory level, bladder/bowel dysfunction. Diagnosis: MRI spine (diffusion restriction for infarct, flow voids for AVM), angiography. Treatment: supportive, manage underlying vasculitis, anticoagulation for dissection, AVM embolization or surgery.