Atypical Anterior Spinal Artery Infarction due to Left Vertebral Artery Occlusion Presenting with Bilateral Hand Weakness
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Background Infarct of the anterior spinal artery is the most common subtype of spinal cordinfarct, and is characterized by bilateral motor deficits with spinothalamic sensory deficits. Weexperienced a case with atypical anterior-spinal-artery infarct that presented with bilateral handweakness but without sensory deficits. Case Report A 29-year-old man presented with sudden neck pain and bilateral weakness ofthe hands. Magnetic resonance imaging (MRI) of the brain did not reveal any lesion. His motorsymptoms improved rapidly except for mild weakness in his left wrist and fingers. Magneticresonance 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 cervicalcord infarct.
Abstract
Background Infarct of the anterior spinal artery is the most common subtype of spinal cordinfarct, and is characterized by bilateral motor deficits with spinothalamic sensory deficits. Weexperienced a case with atypical anterior-spinal-artery infarct that presented with bilateral handweakness but without sensory deficits. Case Report A 29-year-old man presented with sudden neck pain and bilateral weakness ofthe hands. Magnetic resonance imaging (MRI) of the brain did not reveal any lesion. His motorsymptoms improved rapidly except for mild weakness in his left wrist and fingers. Magneticresonance 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 cervicalcord infarct.
참고문헌 (13)
- Novy J, "Spinal cord ischemia: clinical and imaging patterns, pathogenesis, and outcomes in 27 patients", Arch Neurol, 63, pp.1113~1120 (2006)
- Kumral E, "Spinal ischaemic stroke: clinical and radiological findings and short-term outcome", Eur J Neurol, 18, pp.232~239 (2011)
- Satran R, "Spinal cord infarction", Stroke, 19, pp.529~532 (1988)
- Berg D, "Man-in-the-barrel syndrome caused by cervical spinal cord infarction", Acta Neurol Scand, 97, pp.417~419 (1998)
- Li Y, "Sulcal artery syndrome after vertebral artery dissection", J Stroke Cerebrovasc Dis, 19, pp.333~335 (2010)
- Machnowska M, "Partial anterior cervical cord infarction following vertebral artery dissection", Can J Neurol Sci, 35, pp.674~677 (2008)
- 박상원, "가슴 통증을 동반한 척수경색", 대한신경과학회지, 23(6), pp.840~841 (2005), 대한신경과학회
- Pullicino P, "Bilateral distal upper limb amyotrophy and watershed infarcts from vertebral dissection", Stroke, 25, pp.1870~1872 (1994)
- Parent A, "Carpenter’s Human Neuroanatomy", pp.325~367 (1996), Williams & Wilkins
- Cornelis L. Alblas, "Acute Spinal-Cord Ischemia: Evolution of MRI Findings", Journal of Clinical Neurology, 8(3), pp.218~223 (2012), 대한신경과학회
- Penfield W, "Somatic motor and sensory representation in the cerebral cortex of man studied by electrical stimulation", Brain, 60, pp.389~443 (1937)
- Dawson DM, "Acute nontraumatic myelopathies", Neurol Clin, 9, pp.585~603 (1991)
- Robertson CE, "Recovery after spinal cord infarcts: long-term outcome in 115 patients", Neurology, 78, pp.114~121 (2012)