CASE REPORT article
Front. Radiol.
Sec. Neuroradiology
Volume 5 - 2025 | doi: 10.3389/fradi.2025.1672382
Case Report: Sulcal Artery Infarction Presenting as Incomplete Brown-Séquard Syndrome Following Spinal Anesthesia in a 70-Year-Old Female: A Rare Postoperative Neurological Complication
Provisionally accepted
- 1JSS Academy of Higher Education and Research, Mysuru, India
- 2Kasturba Medical College, Mangalore, MAHE, Manipal, Mangalore, India
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Abstract Word count: 106 Spinal cord infarction following neuraxial anesthesia is a rare but serious complication. We present the case of a 70-year-old female who developed acute onset of left lower limb weakness immediately following spinal anesthesia administered for total hip replacem ent. Clinical features were consistent with incomplete Brown-Séquard syndrome. MRI revealed a T2/STIR hyperintense lesion involving the left hemicord at the D12-L1 vertebral level, suggestive of sulcal artery infarction. MRI brain showed only age-related changes.After a structured physiotherapy program, the patient experienced significant functional improvement and was discharged with stable vitals. This case highlights the importance of early diagnosis and management of spinal cord infarction in the perioperative setting.
Keywords: Sulcal artery infarction, spinal cord stroke, Brown-Séquard syndrome, spinal anesthesia, hemicord lesion
Received: 24 Jul 2025; Accepted: 26 Sep 2025.
Copyright: © 2025 T, Poojary and Sundaramurthy. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shweta Raviraj Poojary, shwetapoojary113@gmail.com
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