Ipsilateral Tilt and Contralateral Sensory Change of Neck in Cortical Infarction
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background Numerous neck muscles are involved in neck movements, and so isolated neck weakness is extremely uncommon in cerebral infarction. Case Report We report herein the case of a 65-year-old woman with hypertension and acute cortical infarction, presenting with ipsilateral head tilt and contralateral sensory changes in the neck and shoulder area, which has never been described before. Conclusions Transient neck weakness and sensory deficits can occur in acute cortical infarction. The motor representation of the neck muscles can be at the same level of the cortical sensory representation, near to the level of the trunk representation, which is in contrast to Penfield’s findings. Several possible mechanisms for the ipsilateral tilt are described.
Abstract
Background Numerous neck muscles are involved in neck movements, and so isolated neck weakness is extremely uncommon in cerebral infarction. Case Report We report herein the case of a 65-year-old woman with hypertension and acute cortical infarction, presenting with ipsilateral head tilt and contralateral sensory changes in the neck and shoulder area, which has never been described before. Conclusions Transient neck weakness and sensory deficits can occur in acute cortical infarction. The motor representation of the neck muscles can be at the same level of the cortical sensory representation, near to the level of the trunk representation, which is in contrast to Penfield’s findings. Several possible mechanisms for the ipsilateral tilt are described.
참고문헌 (16)
- Han YS, "Isolated weakness of middle, ring, and little fingers due to a small cortical Infarction in the medial precentral gyrus", J Clin Neurol, 2, pp.146~148 (2006)
- 구본대, "Cerebral Infarction Producing Sudden Isolated Foot Drop", Journal of Clinical Neurology, 3(1), pp.67~69 (2007), 대한신경과학회
- Nah HU, "Isolated shoulder weakness due to a small cortical infarction", J Clin Neurol, 2, pp.209~211 (2006)
- Campbell WW, "The spinal accessory nerve, Motor strength and power", pp.263~269 (2005), Lippincott Williams & Wilkins
- Jackson JH, "Selected writings of John Hughlings Jackson", pp.37~76 (1931), Hodder and Stoughton
- Penfield W, "Somatic motor and sensory representation in the cerebral cortex of man as studied by electrical stimulation", Brain, 60, pp.389~443 (1937)
- Thompson ML, "Corticomotor representation of the sternocleidomastoid muscle", Brain, 120, pp.245~255 (1997)
- Boccagni C, "Motion analysis in cervical dystonia", Neurol Sci, 29, pp.375~381 (2008)
- Strimpakos N, "Cervical spine ROM measurements: optimizing the testing protocol by using a 3D ultrasound-based motion analysis system", Cephalalgia, 25, pp.1133~1145 (2005)
- Clement CD, "Gray’s Anatomy of the Human Body. 30th ed" (1985), Lea & Febiger
- Hayward R, "Observations on the innervation of the sternomastoid muscle", J Neurol Neurosurg Psychiatry, 49, pp.951~953 (1986)
- Manon-Espaillat R, "Dissociated weakness of sternocleidomastoid and trapezius muscles with lesions in the CNS", Neurology, 38, pp.796~797 (1988)
- Mastaglia FL, "Weakness of head turning in hemiplegia: a quantitative study", J Neurol Neurosurg Psychiatry, 49, pp.195~197 (1989)
- DeToledo JC, "Sternomastoid function during hemispheric suppression by amytal: insights into the inputs to the spinal accessory nerve nucleus", Mov Disord, 13, pp.809~812 (1998)
- Nii Y, "Does the central sulcus divide motor and sensory functions? Cortical mapping of human hand areas as revealed by electrical stimulation through subdural grid electrodes", Neurology, 46, pp.360~367 (1996)
- Kim JS, "Sensory abnormality in: Stroke Syndromes. 2nd ed", pp.34~47 (2001), Cambridge University Press