Differential Diagnosis for C6 Right Anterior Horn of the Spinal Cord Small Vascular Lesion
- Single most likely diagnosis
- Spinal Cord Infarction: This is the most likely diagnosis due to the sudden onset of symptoms and the specific location of the lesion in the anterior horn of the spinal cord, which is a common site for infarctions due to its vascular supply.
- Other Likely diagnoses
- Cavernous Malformation: A vascular lesion that could cause symptoms due to bleeding or mass effect, although less common than infarction.
- Arteriovenous Malformation (AVM): An abnormal connection between arteries and veins that could lead to ischemia or hemorrhage, affecting the spinal cord.
- Hemangioma: A benign vascular tumor that could cause symptoms by compressing the spinal cord or through bleeding.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Spinal Dural Arteriovenous Fistula (SDAVF): Although rare, this condition can lead to severe and progressive neurological deterioration if not treated promptly.
- Spinal Arterial Aneurysm: Rupture of an aneurysm could lead to catastrophic bleeding and spinal cord damage.
- Rare diagnoses
- Spinal Cord Hemangioblastoma: A rare, benign tumor that could present with vascular lesions, more commonly associated with von Hippel-Lindau disease.
- Vascular Metastasis: Rarely, metastatic disease can present as a vascular lesion within the spinal cord, originating from a primary cancer elsewhere in the body.