Abstract
Ischemic injury to the lumbosacral nerve roots and plexus is a rare condition resulting
from thrombosis of one or several lumbar arteries.
As the arterial supply of the spine presents great variations between subjects, the
clinical presentation of lumbar thrombosis is highly variable depending on the relative
involvement of nerve roots, bones or muscles.
Diagnosis can be challenging, especially in the acute phase, as different structures
can be simultaneously involved. The identification of an enlarged vessel centered
in the area of tissue damage can help with the final diagnosis.
We present the case of a 59-year-old woman who presented with spontaneous incomplete
cauda equina syndrome due to diffuse lumbar nerve root infarction. On imaging, acute
lumbar artery thrombosis was confirmed, and in addition to nerve roots, adjacent vertebral
and paraspinal muscle infarctions were also present.
Keywords
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References
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Article Info
Publication History
Published online: January 27, 2021
Accepted:
January 22,
2021
Received in revised form:
January 20,
2021
Received:
September 16,
2020
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2021 Elsevier Inc. All rights reserved.
