scholarly journals Anterior Spinal Artery Syndrome due to Intervertebral Disc Herniation: A Systematic Review

2021 ◽  
Vol 03 (02) ◽  
Author(s):  
Asraful Islam ◽  
Mohammad D Hossain ◽  
Abu Bakar Siddik ◽  
Tyfur Rahman ◽  
Ashraful Alam ◽  
...  
2021 ◽  
Author(s):  
Asraful Islam ◽  
Mohammad D. Hossain ◽  
Abu Bakar Siddik ◽  
Tyfur Rahman ◽  
Ashraful Alam ◽  
...  

Abstract Objective: Anterior spinal artery syndrome (ASAS) has been rarely reported as a complication of intervertebral disc herniation (IVDH). Precipitation factors, presentation, evaluation, treatment strategy, and degrees of recovery have not yet been well documented. Methods: Systematic review was conducted according to PRISMA guidelines to review and summarize for the qualitative synthesis of the data from reported cases of anterior spinal artery syndrome due to intervertebral disc herniation from 1980 to February 2021. Results: A total of 12 cases were reviewed, the median age was 48.5 years. Motor weakness with or without pain was the most frequent presenting symptom accompanying bowel or bladder incontinence (25%) or diminished pain and temperature sensation with spared dorsal column sensation. 40% of conservatively treated patients had complete recovery without any residual deficit. Whereas all patients who managed surgically regained fully functional status with shorter recovery intervals. Conclusion: Abrupt onset of motor weakness is a potential warning symptom of spinal cord infarction, rarely attributed to ASA compression by a herniated disc. Moreover, an accompanying diminished pain and temperature sensation with spared dorsal column sensation is further intimation. Reestablishment of blood flow may bear a favorable outcome.


Spine ◽  
2020 ◽  
Vol 45 (12) ◽  
pp. 825-831
Author(s):  
Brittany A. Oster ◽  
Sina Rashidi Kikanloo ◽  
Nicole L. Levine ◽  
Jayson Lian ◽  
Woojin Cho

2015 ◽  
Vol 13 (4) ◽  
pp. 217-221 ◽  
Author(s):  
Jue Hong ◽  
Jie Liu ◽  
Cui-hong Zhang ◽  
Qin-feng Huang ◽  
Ling-xiang Wu ◽  
...  

2020 ◽  
Vol 48 (05) ◽  
pp. 377-377

Zidan N, Medland J, Olby NJ. Long-term postoperative pain evaluation in dogs with thoracolumbar intervertebral disc herniation after hemilaminectomy. J Vet Intern Med 2020. doi: 10.1111/jvim.15800. Beim Menschen ist chronischer neuropathischer Schmerz eine häufige Komplikation nach Rückenmarksinsulten, ca. 50–80 % der Patienten entwickeln eine derartige Dolenz. Für den Hund liegen diesbezüglich keine Studiendaten vor, vor allem aufgrund der herausfordernden Evaluierung insbesondere von neuropathischen Schmerzzuständen. Diese Studie prüfte die Verlässlichkeit einer Messung von spinalen mechanisch ausgelösten sensorischen Schwellenwerten (mechanical sensory threshholds, MSTs) und verglich die MSTs gesunder Hunde mit denen von Hunden nach operativer Hemilaminektomie aufgrund einer thorakolumbaren intervertebralen Diskherniation (IVDH).


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