Neurol. praxi. 2026;27(2):145-150 | DOI: 10.36290/neu.2025.068

From paresthesias to the diagnosis of spinal cord ischemia

MUDr. Natália Cvengrošová¹, MUDr. Pavel Potužník, Ph.D.¹, MUDr. Ing. Radek Tupý, Ph.D.²

¹ Neurologická klinika, Fakultní nemocnice Plzeň a Lékařská fakulta v Plzni, Univerzita Karlova

² Klinika zobrazovacích metod, Fakultní nemocnice Plzeň a Lékařská fakulta v Plzni, Univerzita Karlova

Paresthesia, as a typical positive sensory symptom, is a common subjectively reported symptom in patients of all age groups. As they can be a manifestation of both central and peripheral nervous system disorders, differential diagnosis is not always straightforward. We describe the case of a young patient, with sudden onset of right-sided hemiparesthesia and objectively mild paresis of the right lower limb, in whom the nature of the difficulties, her young age, the results of imaging and laboratory examinations as well as the information about recent delivery initially led us to consider a possibility of multiple sclerosis. However, further investigation revealed spinal ischemia, a diagnosis that is not only rare and severe but also appears to be underdiagnosed.

Keywords: spinal ischemia, myelopathy, multiple sclerosis, magnetic resonance imaging, paresthesia, intervertebral disc herniation.

Received: July 6, 2025; Revised: September 12, 2025; Accepted: September 18, 2025; Published: April 29, 2026  Show citation