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Italian Journal of Emergency Medicine 2022 April;11(1):49-51

DOI: 10.23736/S2532-1285.22.00120-3

Copyright © 2022 THE AUTHORS

This is an open access article distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license.

language: English

Hypotensive infarction of the spinal cord or acute spinal cord infarction presenting with chest pain?

Anna L. ALIMONDA 1, Francesca PITZUS 1, Stefania DESSÌ 1 , Daniela MURGIA 1, Francesco ARCA 2, Fabrizio POLO 1

1 Arnas G. Brotzu Hospital, Cagliari, Italy; 2 Civil Hospital of Alghero, Alghero, Sassari, Italy

A 60-year-old man, transferred by 118 Team to the Accident and Emergency Department (A&E) with chest pain. During the travel it has been given glyceryl trinitrate (GTN) sublingual due to high blood pressure level. Arrived in A&E, the patient presented hypotension and bradycardia also complained about a bilateral lower extremities weakness. Once excluded aortic dissection as the cause, a spinal cord infarction diagnosis will be confirmed with an magnetic resonance imaging scan 36 hours after the first symptoms.

KEY WORDS: Spinal cord; Infarction; Chest pain

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