논문KCI 등재
Pure Sensory Deficit at the T4 Sensory Level as an Isolated Manifestation of Lateral Medullary Infarction
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Abstract
In rare cases restricted sensory deficits along the somatotopic topography of the spinothalamic tract can develop from a lateral medullary infarction. To our knowledge, isolated dermatomal sensory deficit as a single manifestation of a lateral medullary infarction has not been reported previously. A 58-year-old man presenting with sudden left-sided paresthesia complained of sensory deficit of pain and temperature below the left T4 sensory level without other neurologic deficits. Diffuse- and T2-weighted magnetic resonance imaging (MRI) of the brain showed high signal intensities in the right lower medulla oblongata, whereas thoracic-spine MRI and somatosensory evoked potentials produced normal findings.
참고문헌 (8)
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- Park JW, "A case of lateral medullary syndrome presenting as sensory-motor stroke", 15, pp.200~203 (1997)
- Kim JS, "Spectrum of lateral medullary syndrome Correlation between clinical findings and magnetic resonance imaging in 33 subjects", pp.1405~1410
- Vuadens P, "Face-arm-trunk-leg sensory loss limited to the contralateral side in lateral medullary infarction: a new variant", 65, pp.255~257 (1998)
- Kim JS, "Restricted acral sensory syndrome following minor stroke Further observation with special reference to differential severity of symptoms among individual digits", pp.2497~2502
- Lee SH, "Sensory dermatomal representation in the medial lemniscus", 58, pp.649~651 (2001)
- Phan TG, "A sensory level on the trunk and sparing the face from vertebral artery dissection: how much more subtle can we get? J", 66, pp.691~692 (1999)
관련 논문AI추천
Paraparesis in Unilateral Medial Medullary Infarction나정호, 박희권, 윤혜원대한신경과학회 · Journal of Clinical Neurology2021 · 제17권 제1호Ipsilateral Axial Lateropulsion as an Initial Symptom of Lateral Medullary Infarction권형민, 김현정, 오미영, 이용석, 허영은대한신경과학회 · Journal of Clinical Neurology2007 · 제3권 제4호Bilateral Medial Medullary Infarction Demonstrated by Diffusion-Weighted Imaging: Case Report변우목, 장한원영남대학교 의과대학 · Journal of Yeungnam Medical Science2009 · 제26권 제1호통증과 온도 감각의 저하를 보인 내측연수경색김응규, 박강민, 배종석, 이성훈, 정은주대한신경과학회 · 대한신경과학회지2009 · 제27권 제4호외측연수경색증에서 일과성허혈발작으로 나타난 삼차신경통강우혁, 김명국, 유봉구, 이진형, 전병준대한신경과학회 · 대한신경과학회지2014 · 제32권 제4호감각실조로 발현한 후척수동맥경색박성배, 박소영, 서지원, 이용석대한신경과학회 · 대한신경과학회지2016 · 제34권 제4호
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