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Acute paraplegia can result from spinal cord compression, inflammation, tumor, infection, or ischemia.1 The poor prognosis of spinal cord lesions is often related to treatment delay, so that early diagnosis is essential. The current practice in acute spinal cord symptoms is to do an emergency MRI in search of a surgically treatable spinal cord compression.1 However, in case of acute infarct, T1-weighted and T2-weighted images are often normal as they are in cerebral infarction. Diffusion-weighted imaging (DWI) is the best sequence to reveal early brain infarction. The availability of this technique in the spinal cord has been limited. We report an example of the usefulness of DWI for diagnosing acute spinal cord infarct.
Case report.
A 68-year-old man, without past medical history, was admitted to our hospital 4 hours after the sudden onset of paraplegia associated with back pain, lower limb dysesthesias, and urinary retention. The patient had no known vascular risk factors. There were flaccid …
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