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뇌경색에 의해 감각결손이 동반된 하지 단부전마비 증례

A Case of Leg Monoparesis with Sensory Deficit Due to Cerebral Infarction

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주제분류신경과학

초록

A male patient aged 54 came to the neurology department complaining of weakness and tingling sensation in the left lower extremity during squatting exercises for the previous four days. A neurological examination revealed left proximal leg weakness and hypesthesia on the medial side of the left lower leg. In eight hours after onset, he took brain and lumbar MRIs at a local clinic and the results were normal. In order to identify possible causes, we performed a follow-up lumbar MRI, femoral angiography, electromyography, and nerve conduction study but failed to obtain any abnormal findings. Finally, a recent infarction of right corona radiata was observed by a follow-up brain MRI which was taken 16 days after onset of the symptom. Leg monoparesis caused by cerebral infarction is known to be rare and in particular combines motor and sensory deficits limited to one extremity. (Korean J Stroke 2011;13:45-47)

Abstract

A male patient aged 54 came to the neurology department complaining of weakness and tingling sensation in the left lower extremity during squatting exercises for the previous four days. A neurological examination revealed left proximal leg weakness and hypesthesia on the medial side of the left lower leg. In eight hours after onset, he took brain and lumbar MRIs at a local clinic and the results were normal. In order to identify possible causes, we performed a follow-up lumbar MRI, femoral angiography, electromyography, and nerve conduction study but failed to obtain any abnormal findings. Finally, a recent infarction of right corona radiata was observed by a follow-up brain MRI which was taken 16 days after onset of the symptom. Leg monoparesis caused by cerebral infarction is known to be rare and in particular combines motor and sensory deficits limited to one extremity. (Korean J Stroke 2011;13:45-47)

참고문헌 (8)

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  2. "Numbness: a practical guide for family physicians"[URL]
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  5. Paciaroni M, "Isolated monoparesis following stroke", J Neurol Neurosurg Psychiatry, 76, pp.805~807 (2005)
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  7. In Bo Han, "Isolated Distal Leg Weakness due to a Small Cerebral Infarction Masquerading as a Spinal Lesion", 대한신경외과학회지, 41(3), pp.182~185 (2007), 대한신경외과학회
  8. Arboix A, "Clinical study of 227 patients with lacunar infarcts", Stroke, 21, pp.842~847 (1990)

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