{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T21:44:24Z","timestamp":1767995064547,"version":"3.49.0"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"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. Radiol."],"abstract":"<jats:p>Spinal cord infarction following neuraxial anesthesia is a rare but serious complication. We present the case of a 70-year-old female who developed acute onset of left lower limb weakness immediately following spinal anesthesia administered for total hip replacement. Clinical features were consistent with incomplete Brown-S\u00e9quard syndrome. MRI revealed a T2\/STIR hyperintense lesion involving the left hemicord at the D12-L1 vertebral level, suggestive of sulcal artery infarction. MRI showed only age-related changes. After a structured physiotherapy program, the patient experienced significant functional improvement and was discharged with stable vitals. This case highlights the importance of early diagnosis and management of spinal cord infarction in the perioperative setting.<\/jats:p>","DOI":"10.3389\/fradi.2025.1672382","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T05:21:26Z","timestamp":1762147286000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Sulcal artery infarction presenting as incomplete Brown-S\u00e9quard syndrome following spinal anesthesia in a 70-year-old female: a rare postoperative neurological complication"],"prefix":"10.3389","volume":"5","author":[{"given":"B. T.","family":"Kavya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shweta Raviraj","family":"Poojary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harsha","family":"Sundaramurthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1001\/archneur.63.8.1113","article-title":"Spinal cord ischemia: clinical and imaging patterns, pathogenesis, and outcomes in 27 patients","volume":"63","author":"Novy","year":"2006","journal-title":"Arch Neurol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1159\/000539405","article-title":"Unilateral anterior spinal artery syndrome following spinal anesthesia for cesarian section: a case report","volume":"16","author":"Kraus","year":"2024","journal-title":"Case Rep Neurol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1177\/0310057X0703500423","article-title":"Postoperative paraplegia coincident with single shot spinal anaesthesia","volume":"35","author":"LaFerlita","year":"2007","journal-title":"Anaesth Intensive Care"},{"key":"B4","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1097\/00007611-199006000-00027","article-title":"Maternal paraparesis after epidural anesthesia and cesarean section","volume":"83","author":"Ackerman","year":"1990","journal-title":"South Med J"},{"key":"B5","doi-asserted-by":"publisher","first-page":"379","DOI":"10.5604\/01.3001.0013.5790","article-title":"Paraparesis after spinal anesthesia during delivery","volume":"21","author":"Tsur","year":"2019","journal-title":"Ortop Traumatol Rehabil"},{"key":"B6","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.jocn.2021.03.013","article-title":"Sulcal artery syndrome: a three-patient series and review of literature","volume":"88","author":"Tan","year":"2021","journal-title":"J Clin Neurosci"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e107","DOI":"10.1016\/j.jstrokecerebrovasdis.2018.01.003","article-title":"Spinal cord infarction presenting as a hemicord syndrome: report of 2 cases","volume":"27","author":"Sharma","year":"2018","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"B8","first-page":"1","article-title":"Sulcal artery syndrome as atypical ischemic complication after anterior cervical discectomy and fusion: a case report","volume":"1","author":"Valsecchi","year":"2020","journal-title":"Clin Case Rep J"},{"key":"B9","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1007\/s00234-002-0828-5","article-title":"Spinal cord infarction: MR imaging and clinical features in 16 cases","volume":"44","author":"Weidauer","year":"2002","journal-title":"Neuroradiology"}],"container-title":["Frontiers in Radiology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fradi.2025.1672382\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T05:21:27Z","timestamp":1762147287000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fradi.2025.1672382\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,3]]},"references-count":9,"alternative-id":["10.3389\/fradi.2025.1672382"],"URL":"https:\/\/doi.org\/10.3389\/fradi.2025.1672382","relation":{},"ISSN":["2673-8740"],"issn-type":[{"value":"2673-8740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,3]]},"article-number":"1672382"}}