{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:38:59Z","timestamp":1775043539475,"version":"3.50.1"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T00:00:00Z","timestamp":1630972800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:p>Spinal cord ischemia (SCI) is a rare entity with high mortality and morbidity which can arise from causes such as atherosclerosis, aortic dissection or aneurysm, thromboembolic events or systemic hypotension, and is a potential complication of spinal surgery. Published literature contains very few reports of SCI as a complication of intracranial interventions, highlighting the uncommon nature of SCI in these circumstances. We report the occurrence of anterior SCI in a 69-year-old patient following successful embolization of a cerebellar arteriovenous malformation (AVM), marked by upper extremity weakness, lower extremity paraplegia, loss of bladder and bowel control, and hypercapnic respiratory failure requiring mechanical ventilation. Magnetic resonance imaging (MRI) demonstrated upper cervical diffusion restriction and T2\/STIR hyperintensity. Unusually, SCI occurred in this case without intraprocedural catheter wedging or obvious flow limitation, prolonged procedure time, hypercoagulable state, or general hypotension. We review previous cases in the literature as well as spinal cord vascular anatomy, and discuss the possible etiologies of this complication. Spinal cord ischemia could be a very rare complication of neuroendovascular procedures even in the absence of warning signs and should be carefully evaluated in patients with suspected neurologic symptoms after such procedures.<\/jats:p>","DOI":"10.3389\/fneur.2021.725065","type":"journal-article","created":{"date-parts":[[2021,9,7]],"date-time":"2021-09-07T04:26:08Z","timestamp":1630988768000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Case Report: Anterior Spinal Cord Ischemia Following Embolization of Cerebellar Arteriovenous Malformation: An Illustrative Case and Review of Spinal Cord Vascular Anatomy"],"prefix":"10.3389","volume":"12","author":[{"given":"Yasaman","family":"Moazeni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald R.","family":"Cantrell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey R.","family":"Clark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramez N.","family":"Abdalla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayush","family":"Batra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael C.","family":"Hurley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameer A.","family":"Ansari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric J.","family":"Russell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Shaibani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,9,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1212\/wnl.47.2.321","article-title":"Spinal cord infarction: etiology and outcome","volume":"47","author":"Cheshire","year":"1996","journal-title":"Neurology."},{"key":"B2","doi-asserted-by":"publisher","first-page":"S5","DOI":"10.1038\/sc.2014.80","article-title":"Spinal cord infarction as a complication of percutaneous coronary intervention","volume":"52","author":"Kaya","year":"2014","journal-title":"Spinal Cord."},{"key":"B3","doi-asserted-by":"publisher","first-page":"5070712","DOI":"10.1155\/2018\/5070712","article-title":"Unilateral upper cervical posterior spinal cord infarction after a neuroendovascular intervention: a case report","volume":"2018","author":"Elzamly","year":"2018","journal-title":"Case Rep Neurol Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1177\/159101991301900416","article-title":"Spinal cord infarction is an unusual complication of intracranial neuroendovascular intervention","volume":"19","author":"Matsubara","year":"2013","journal-title":"Interv Neuroradiol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"398","DOI":"10.5797\/jnet.cr.2017-0117","article-title":"Spinal cord infarction after successful coil embolization of recurrent basilar bifurcation aneurysm: a case report","volume":"12","author":"Iwahashi","year":"2018","journal-title":"J Neuroendovasc Ther"},{"key":"B6","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1002\/ca.22281","article-title":"Blood supply to the human spinal cord: part I. 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