C5 pure motor spinal cord injury: A case with a rare manifestation of cervical spinal cord injury.

Autor: Koda M; University of Tsukuba, Japan. Electronic address: masaokod@gmail.com., Hara Y; University of Tsukuba, Japan. Electronic address: yukihara@md.tsukuba.ac.jp., Okano E; University of Tsukuba, Japan., Abe T; University of Tsukuba, Japan. Electronic address: abeyroad@dia-net.ne.jp., Funayama T; University of Tsukuba, Japan., Noguchi H; University of Tsukuba, Japan., Miura K; University of Tsukuba, Japan., Nagashima K; University of Tsukuba, Japan., Kumagai H; University of Tsukuba, Japan., Mataki K; University of Tsukuba, Japan., Yamazaki M; University of Tsukuba, Japan. Electronic address: masashiy@md.tsukuba.ac.jp.
Jazyk: angličtina
Zdroj: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2019 Jan; Vol. 59, pp. 332-334. Date of Electronic Publication: 2018 Nov 15.
DOI: 10.1016/j.jocn.2018.10.014
Abstrakt: We report an extremely rare case showing a fifth cervical spine (C5) level pure motor cervical spinal cord injury (SCI). A 55-year-old-man lost consciousness and fell into a bathtub. Immediately after regaining consciousness, the patient had right arm drop alone. He was referred to our department for investigation of right arm drop 4 months later. Neurological examination revealed motor weakness of the right deltoid muscle. MRI of the cervical spine revealed a C3-4 level central disc herniation compressing the spinal cord. An electromyogram study revealed bilateral neurogenic discharges in the deltoid, supraspinatus and infraspinatus muscles. We diagnosed a C5 segmental pure motor SCI. We chose conservative therapy for the present patient. At the latest follow-up visit, the patient showed modest recovery of motor weakness. Although it is unusual, this case illustrates the possibility that C5 segmental pure motor palsy can occur as one of the manifestations of cervical SCI.
(Copyright © 2018 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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