Case Report
Copyright ©The Author(s) 2023.
World J Clin Cases. Mar 26, 2023; 11(9): 2074-2083
Published online Mar 26, 2023. doi: 10.12998/wjcc.v11.i9.2074
Table 1 Overview of reported cases of conus infarction
Ref.Age/genderRisk factorsPathogeny/mechanismPrognosisMRI findings
T2WI I high signal (Axial)
T2WI high signal (Sagittal)
DWI high signal
Involve centrum/muscle/ligament
Herrick et al[5]84/MNAAortic dissection aneurysmPartial improvement, died of rupture of aortic dissection aneurysm on the 18th day of admissionNANANANA
79/MHeart failureAortic atherosclerosisNo improvement, died of acute myocardial infarction on the 25th day of admissionNANANANA
Anderson et al[6]54/MCoronary diseaseHeart failureAortic balloon pump implantationSome improved strength in the legs before death 7 wk after the ictusNANANANA
75/MSmokingRepair operation of abdominal aortic aneurysmPersistent urinary incontinence with some improvement in bowel function and in motor and sensory signs 16 mo after the ictus NANANANA
66/MSmokingAortic atherosclerosisSome functions recovered 2 mo after the ictusNANANANA
51/MSmokingNAPersistent urinary incontinence with some functions recovered 28 mo after the ictusNANANANA
47/FNANANo improvement in 2 yrNANANANA
Ohbu et al[7]69/FHypertensionNANANANANANA
Andrews et al[8]71/FNANAWalking independently, mild hypoesthesia, but persistent urinary incontinence 2 mo after the ictusNANANANA
Mhiri et al[9]28/MNADural arteriovenous fistulaNo improvementNANANANA
Sinha et al[10]63/MHypertensionCoronary diseaseCoronary artery bypass grafting (CABG)persistent urinary incontinence 5 yr after the ictusNANANANA
Greiner-Perth et al[11]66/MNANANo improvement in 8 moNAT12-L1NANA
Combarros et al[12]69/FHypertensionNAThe bladder function returned to normal and can walk with a walker 2 mo after the ictusNANANANA
Wildgruber et al[13]44/FNASpinal venous thrombosisMotor function recovered partially and leaving hypoesthesia 6 mo after the ictusBilateral anterior horn of gray matter (Snake-eye appearance)T12-L1NANA
Wong et al[14]79/FCoronary diseaseAortic atherosclerosisPartial neurologic recoveryBilateral gray matter and central white matterT12-L1YesNA
Konno et al[15]77/FHypertensionSpinal venous thrombosisSymptoms improved rapidlyDiffuseL1NAYes
Diehn et al[16]24/MNAFibrocartilage embolismNo improvementBilateral anterior horn of gray matterT10-L1NAYes
Alanazy[17]48/MNAOverstretchWalking resumed on day 105DiffuseT11-L1NANA
Hor et al[18]51/FNANANABilateral gray matter and central white matterT12NANA
Kamimura et al[19]70/FNASpinal venous thrombosisSensory disturbance improved, leaving numbness in the sellar area and urinary incontinenceBilateral posterior funiculus, right posterior horn, right lateral funiculusT12NAYes
Weng et al[20]55/MHyperlipidemiaSofa sedentaryCalf muscle atrophy, perianal hypoesthesia and neurogenic bladder 3 yr after ictusBilateral anterior horn of gray matterT11-12YesYes
34/FNAToilet sedentaryCalf muscle atrophy, perianal hypoesthesia and neurogenic bladder 4 yr after ictusNAT12YesNA
Breitling et al[21]52/MNANAMotor function recovered partially, leaving bladder and rectum dysfunctionBilateral anterior horn of gray matter (Snake-eye appearance)L1NAYes