Anterior Spinal Artery - Disorders

Disorders

Disruption of the anterior spinal cord leads to bilateral disruption of the corticospinal tract, causing motor deficits, and bilateral disruption of the spinothalamic tract, causing sensory deficits in the form of pain/temperature sense loss. This is Anterior spinal artery syndrome. This occurs when the disruption of the anterior spinal artery is at the level of the spinal cord. Contrast this with Medial medullary syndrome when the anterior spinal artery is occluded at the level of the medulla. This causes different symptoms. It affects the cortiospinal tract - contralaterally, medial lemniscus - contralaterally, and hypoglossal nerve - ipsilaterally.

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