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DOI: 10.1055/s-0042-1758392
“Owl's eyes” sign in acute spinal cord infarction in newborn submitted to aortoplasty
Sinal dos “olhos de coruja” em infarto espinal agudo em recém-nascido submetido a aortoplastiaA 12-day-old male patient underwent aortoplasty for aortic arch coarctation with patent ductus arteriosus and ventricular septal defect. On the 5th postoperative day, he presented with acute hyporeflexia, tetraparesis, and urinary retention. On spinal magnetic resonance imaging (MRI), sagittal T2-weighted image (T2WI) indicated abnormal hyperintensity extending from D1 and D2 to the conus medullaris, affecting the anterior two thirds of the spinal cord ([Figure 1A]). Additionally, axial T2WI showed the “owl's eyes” sign involving the anterior-central cord ([Figures 1B-C]) and sagital T1WI unremarkable ([Figure 1D]).
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Pediatric acute spinal cord infarction is rare, and the “owl's eyes” sign on neuroimaging is highly suggestive of vascular etiology. This case is the youngest of the few ever reported in which an “owl's sign” could be observed.[1] [2] [3]
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Conflict of Interest
The authors have no conflict of interests to declare.
Authors' Contributions
ACH: study design, patient data collection and interpretation, and manuscript writing; MFN: patient data collection and manuscript writing; FLM, ESM: data interpretation and manuscript critical review.
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References
- 1 Morshid A, Jadiry HA, Chaudhry U, Raghuram K. Pediatric spinal cord infarction following a minor trauma: a case report. Spinal Cord Ser Cases 2020; 6 (01) 95
- 2 Sheikh A, Warren D, Childs A-M. et al. Paediatric spinal cord infarction-a review of the literature and two case reports. Childs Nerv Syst 2017; 33 (04) 671-676
- 3 Nance JR, Golomb MR. Ischemic spinal cord infarction in children without vertebral fracture. Pediatr Neurol 2007; 36 (04) 209-216
Address for correspondence
Publication History
Received: 10 April 2022
Accepted: 05 July 2022
Article published online:
28 December 2022
© 2022. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Morshid A, Jadiry HA, Chaudhry U, Raghuram K. Pediatric spinal cord infarction following a minor trauma: a case report. Spinal Cord Ser Cases 2020; 6 (01) 95
- 2 Sheikh A, Warren D, Childs A-M. et al. Paediatric spinal cord infarction-a review of the literature and two case reports. Childs Nerv Syst 2017; 33 (04) 671-676
- 3 Nance JR, Golomb MR. Ischemic spinal cord infarction in children without vertebral fracture. Pediatr Neurol 2007; 36 (04) 209-216
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