Radiology · 1974 · 11 citations · 0 references
MedicineNeurosurgerySurgeryNeuroradiologyTrauma NeurosurgeryVascular SurgeryCervical TraumaNeurovascular ImagingSpinal Cord AnatomySpinal Cord InjurySpinal TraumaTraumatic Vascular InjuryCervical Spinal Cord AnatomyContrastNeurological DeteriorationNeurological Status AssessmentNeurological Status MonitoringSpinal Cord Vascular AnatomySpinal Cord VasculatureVascular Involvement
The cord vessels of 6 patients with cervical cord injury were demonstrated angiographically. Arteriography was carried out at different times after trauma, in 2 instances within six hours. In 2 patients, repeat angiography was done after corrective surgery. Retrograde filling of radiculomedullary arteries and displacement of the anterior spinal artery was shown in several cases. One patient with no fracture or dislocation but with evidence of vascular involvement showed marked improvement of neurological status on conservative therapy. Extravasation of contrast medium into the spinal meningeal spaces was evident in one case. A paired cervical anterior spinal artery was demonstrated in one case, and sulco-commissural arteries in another. Postmortem cord microangiography of one of the patients was also obtained.