Atypical Anterior Spinal Artery Infarction due to Left Vertebral Artery Occlusion Presenting with Bilateral Hand Weakness
| Autor: | Suk Yun Kang, Min-Ji Kim, Ki-Han Kwon, Mi-Hee Jang, Soo-Jin Cho, Ik-Won Kang, Jooyong Kim, Mi-song Choi |
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| Rok vydání: | 2014 |
| Předmět: |
spinal cord infarction
medicine.medical_specialty Weakness Neck pain medicine.diagnostic_test business.industry Anterior spinal artery Infarction Case Report Magnetic resonance imaging medicine.disease hands Magnetic resonance angiography Surgery Lesion Neurology medicine.artery Occlusion medicine vertebral artery occlusion Neurology (clinical) medicine.symptom business anterior spinal artery |
| Zdroj: | Journal of Clinical Neurology (Seoul, Korea) |
| ISSN: | 2005-5013 1738-6586 |
| DOI: | 10.3988/jcn.2014.10.2.171 |
| Popis: | Background Infarct of the anterior spinal artery is the most common subtype of spinal cord infarct, and is characterized by bilateral motor deficits with spinothalamic sensory deficits. We experienced a case with atypical anterior-spinal-artery infarct that presented with bilateral hand weakness but without sensory deficits. Case report A 29-year-old man presented with sudden neck pain and bilateral weakness of the hands. Magnetic resonance imaging (MRI) of the brain did not reveal any lesion. His motor symptoms improved rapidly except for mild weakness in his left wrist and fingers. Magnetic resonance angiography showed proximal occlusion of the left vertebral artery; a spine MRI revealed left cervical cord infarction. Conclusions Bilateral or unilateral hand weakness can be the sole symptom of a cervical cord infarct. |
| Databáze: | OpenAIRE |
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