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Diagnosis

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Before diagnosing spinal cord infarction, exclude other, more common, causes of acute paraplegia, for example, Guillain-Barre syndrome, cord compression, and transverse myelitis.

Check for causes of infarction:

  • arterial compression / occlusion - space occupying lesions, e.g. tumour; abscess; dissecting aneurysm; recent aortic surgery

  • embolic occlusion - aortic arteriography; Caisson's disease

  • small blood vessel disease - diabetes; polyarteritis nodosa; systemic lupus erythematosus; neurosyphilis, endarteritis secondary to tuberculous meningitis, pneumococcal meningitis, or other infection

  • hypotension

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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