TAI-CHUNG HUANGHWANG, JUEY-JENJUEY-JENHWANGYip P.-K.HON-MAN LIU2020-10-202020-10-2020050929-6646https://www.scopus.com/inward/record.uri?eid=2-s2.0-27744566043&partnerID=40&md5=1c090f623fc6c9a2b3c9fb8725e2f7aehttps://scholars.lib.ntu.edu.tw/handle/123456789/517229Spinal cord infarction is a rare condition with heterogeneous causes. An 80-year-old diabetic woman was brought to the emergency department because of retrosternal pain and high blood pressure. Twenty minutes after treatment with sublingual nitroglycerin and short-acting oral antihypertensive agent, blood pressure had dropped from 201/91 mm Hg to 158/68 mm Hg, followed by abrupt onset of weakness in lower limbs, urinary retention and sensory loss in bilateral T4-L1 levels and the left lower limb at two hours after treatment. Magnetic resonance imaging showed contrast-enhanced and high-intensity lesions in the mid and lower thoracic cord, which were consistent with ischemic changes within the spinal cord and in the T4 vertebral body. After rehabilitation therapy for 2 months, she became able to ambulate with the aid of a walker. To reduce the risk of hypotensive sequelae such as spinal cord infarction, blood pressure should be closely monitored in elderly patients presenting with retrosternal chest pain who are treated with short-acting oral antihypertensive agent, particularly when additional risk factors such as atherosclerosis, diabetes mellitus or hypertension are present.[SDGs]SDG3antihypertensive agent; glyceryl trinitrate; antihypertensive agent; aged; article; case report; clinical feature; diabetic patient; emergency ward; female; human; hypotension; infarction; nuclear magnetic resonance imaging; rehabilitation care; spinal cord disease; vertebra body; chemically induced disorder; infarction; spinal cord; spine; vascularization; Aged; Antihypertensive Agents; Female; Humans; Infarction; Spinal Cord; Spinejournal article161931862-s2.0-27744566043