Presentation
Acute onset of numbness and weakness in the lower extremities.
Patient Data
Age: Adult
Gender: Male
From the case:
Spinal cord ischemia
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There is increased T2 signal in the central grey matter throughout the visualized spinal cord down to the level of the conus, creating the so-called owl's eyes appearance. An associated aortic dissection is noted.
Scattered areas of increased T1 and T2 signal in the psoas muscles, most likely due to denervation edema or hypo-perfusion.
From the case:
Spinal cord ischemia
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Extensive aortic dissection, Type 1A, extending into the superior mesenteric artery.
Case Discussion
Typical example of acute spinal cord ischemia secondary to an aortic dissection.