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  • Title: Role of diffusion MRI in diagnosis of spinal cord infarction in children.
    Author: Beslow LA, Ichord RN, Zimmerman RA, Smith SE, Licht DJ.
    Journal: Neuropediatrics; 2008 Jun; 39(3):188-91. PubMed ID: 18991201.
    Abstract:
    Anterior spinal artery (ASA) infarction is a rare but well-described cause of flaccid paraparesis in adults, presenting with a high thoracic spinothalamic sensory level and preservation of dorsal column function. Careful sensory examination, demonstrating loss of spinothalamic modalities with preservation of dorsal column modalities, supports a clinical diagnosis of ASA infarction. Findings on conventional MRI of the spinal cord are often non-specific, and diffusion-weighted imaging (DWI) is not routinely performed. We describe four children with ASA infarction after minor trauma. DWI was performed in all cases and confirmed the clinical diagnosis.
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