Monday 31 October 2016

Anterior spinal artery thrombosis | PGI based MCQs


Anterior spinal artery thrombosis is characterized by: 

A. Loss of pain & touch 
B. Loss of vibration sense 
C. Loss of power in lower limb 
D. Sphincter dysfunction

E.  venous plasma leakage


The Answer is. (A) Loss of pain & touch; (C) Loss of power in lower limb (D) Sphincter dysfunction
* Anterior spinal artery (single) supplies anterior 2/3rd of spinal cord, while posterior columns are supplied by posterior spinal arteries (paired).
* Lesion (thrombosis, infarction) of anterior spinal artery causes quadriplegia or paraplegia and dissociated sensory loss affecting pain and temperature; but sparing vibration and position sense and loss of sphincter function. It is sudden in onset and sharply demarcated.

* Vibration senses affected with the lesion of posterior spinal artery.