A case of spinal cord infarction presenting with unilateral C5 palsy.

Q4 Medicine
Clinical Neurology Pub Date : 2024-02-23 Epub Date: 2024-01-20 DOI:10.5692/clinicalneurol.cn-001916
Tatsuki Matsuda, Takahiko Taniguchi, Misaki Hanya, Keisuke Kitani, Hisashi Takahashi, Takashi Kasai
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引用次数: 0

Abstract

A 75-year-old man developed sudden-onset tetraparesis preceded by chest pain. MRI of the cervical spine on the day of onset showed no abnormalities. Although his motor symptoms improved gradually, the weakness of the muscles innervated by the C5 nerve root persisted. Sensory and autonomic deficits were detected on an additional neurological examination, and follow-up MRI eight days after onset revealed spinal cord infarction at the right anterior horn at C3-C4. This case suggests that motor symptoms mimicking a radiculopathy could be present during the course of spinal cord infarction.

一例表现为单侧 C5 麻痹的脊髓梗死病例。
一名 75 岁的男性突发四肢瘫痪,发病前伴有胸痛。发病当天进行的颈椎核磁共振检查未发现异常。虽然他的运动症状逐渐改善,但由 C5 神经根支配的肌肉仍然无力。额外的神经系统检查发现了感觉和自主神经功能障碍,发病八天后的随访核磁共振成像显示 C3-C4 右前角脊髓梗死。该病例表明,在脊髓梗死过程中可能会出现类似根性神经病的运动症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Neurology
Clinical Neurology Medicine-Neurology (clinical)
CiteScore
0.30
自引率
0.00%
发文量
147
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