Quiz Form

Question Date: 11/08/2023

Question: Recommended therapy for acute spinal cord infarction includes which of the following?

Options:

• Corticosteroids
• Diuresis
• Lumbar CSF drainage
• Thrombolysis

Correct Answer: Lumbar CSF drainage

Explaination: Treatment of acute spinal cord infarction is primarily based on efforts to improve spinal cord perfusion. Hemodynamic augmentation including use of vasopressors toincrease the perfusion pressure is combined with lumbar drainage of CSF to reduce the resistance to blood flow. Robust controlled clinical trials to support these measures do not exist, but the recommendation is based on observations of occasional dramatic improvement with these approaches. Other recommendations include avoidance of hyperglycemia. No recanalization therapy has been formally tested, and effective neuroprotectant agents are not available.

Reference: Page 72, Rabinstein AA. Vascular myelopathies. Continuum (Minneap Minn). 2015 Feb21(1 Spinal Cord Disorders)67-83. doi 10.121201.CON.0000461085.79241.e0. PMID 25651218.