Case report: diffusion-weighted MRI in anterior spinal artery stroke of the cervical spinal cord

J Comput Assist Tomogr. May-Jun 2003;27(3):410-4. doi: 10.1097/00004728-200305000-00018.


The authors present a case of anterior spinal artery stroke demonstrated by diffusion-weighted MRI (DWI) using single-shot echo-planar imaging. DWI clearly demonstrated hyperintensity with a decreased apparent diffusion coefficient (ADC) at 26 hours after onset. At 28 days, there was persistent hyperintensity with an increased ADC, corresponding to T2-weighted hyperintensity in the whole spinal gray matter at the C2-C7 vertebral level. DWI provided satisfactory images and was helpful for diagnosing and evaluating anterior spinal artery stroke.

Publication types

  • Case Reports

MeSH terms

  • Anterior Spinal Artery Syndrome / diagnosis*
  • Cervical Vertebrae
  • Diffusion Magnetic Resonance Imaging*
  • Echo-Planar Imaging
  • Female
  • Humans
  • Middle Aged
  • Spinal Cord / pathology
  • Spinal Cord Ischemia / diagnosis*
  • Stroke / diagnosis*