Anterior Spinal Artery Syndrome

Anterior spinal artery syndrome affects the supply of anterior spinal artery which supplies the ventral two-thirds of the spinal cord and Medulla. Infarction or blockage of this artery jeopardizes the supply to the cord and results in symptoms of weakness and loss of pain and temperature sensation below the level of injury.

Causes of Anterior Spinal Artery Syndrome

Most common associated causes of anterior spinal artery syndrome are atherosclerosis of the aorta [results in narrowing of lumen and hence blood supply] and may result from dissection of an Aortic aneurysm.

The artery might rarely be injured in dissection of spine.

Other causes are  trauma, vasculitis (inflammation of the blood vessels), compression by any space occupying lesion  and infections.

Presentation of Anterior Spinal Artery Syndrome

• Loss of pain sensation below the point of reduced blood flow
• Muscular weakness in the limbs and problems with bladder control.

Sensation of vibration is usually retained.

Diagnosis of Anterior Spinal Artery Syndrome

Clinical examination would point to the presentation and likely level. The cause of the syndrome would vary. History might point to a cause like trauma. If the anterior spinal artery syndrome is found after the surgery, a peroperative injury is most likely the cause.

A magnetic resonance imaging  may help to identify causes like atherosclerosis or aneurysm.

Treatment

The root cause if treatable should be addressed. The treatment in such cases would very depending upon the root cause.