20.500.12556/DiRROS-24671 Hypotension-induced transverse spinal cord ischemia Background: Spinal cord infarction is rare, with spontaneous, non-traumatic cases being extremely uncommon. Severe atherosclerosis may predispose to spinal ischemia during episodes of systemic hypotension, particularly in mid-thoracic watershed zones. Case report: We present a case of a 56-year-old woman with schizophrenia, a history of heavy smoking, and chronic use of nonsteroidal anti-inflammatory drugs. She presented with ischemic lower limbs and hypotension, following a self-inflicted neck wound. Computed tomography angiography revealed extensive chronic atherosclerotic disease of the distal aorta and iliac arteries with collateral circulation but no acute occlusion. After surgical control of bleeding and stabilization, she was found to have flaccid paraplegia and sensory loss below the TH10 level. Magnetic resonance imaging confirmed acute spinal cord infarction with well-demarcated ischemia, that was treated conservatively. Despite prompt hemodynamic stabilization, her neurological deficits did not resolve. Conclusion: This case highlights spontaneous spinal cord infarction as a rare but serious complication of transient hypotension in patients with severe atherosclerosis. Prompt recognition is essential, though therapeutic options remain limited. spinal cord ischemia hypotension atherosclerosis artery of Adamkiewicz arteria radicularis magna ishemija hrbtenjače ateroskleroza hipotenzija true false true Angleški jezik Slovenski jezik Neznano 2025-12-11 13:47:06 2025-12-11 13:47:07 2025-12-12 03:44:11 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis vira z dne 3. 11. 2025; str. [1-3] issue 10 Vol. 12 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.1 2284-2594 10.12890/2025_005728 255589379 RAZ_Kordis_Peter_2025.pdf RAZ_Kordis_Peter_2025.pdf 1 4198C53EEEEC2B47C9268CB9D1F6A10B 0443a7e43e5c33d224a8dffe58a422dd1c8f4aa36cad57d7e8ae25a106412221 b2922ef8-d68f-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=36832 https://www.ejcrim.com/index.php/EJCRIM/article/view/5728 0 bf5a9af6-d68f-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=36833 Univerzitetni klinični center Ljubljana 0 0 0