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KMID : 1024720200100010028
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Geriatric Rehabilitation
2020 Volume.10 No. 1 p.28 ~ p.32
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Motor Weakness in Patient with Cervical Spondylotic Myelopathy Accompanied by Cerebral Infarct: Two Case Reports
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Kim Chang-Beom
Lee Hyun-Sung
Park Chan-Hyuk
Joa Kyung-Lim
Kim Chang-Hwan
Jung Han-Young
Kim Myeong-Ok
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Abstract
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Cervical spondylotic myelopathy (CSM) and cerebral infarction are common diseases that cause neurological disorders in the elderly. CSM is rarely accompanied by cerebral infarction. We report two cases of CSM combined with cerebral infarction. The first case involves a 62-year-old patient presenting muscle weakness on the left side. Surgery was performed based on C-spine MRI findings of myelopathy. After the surgery, left hemiplegia persisted with dysarthria. Brain MRI was performed, and the diagnosis of cerebral infarction was made. The second case involves a 74-year-old patient with cognitive deficit presenting muscle weakness on the both side. Surgery was performed based on C-spine MRI findings of myelopathy. However, muscle weakness persisted, and cognitive deficit worsened. We performed brain MRI, and confirmed cerebral infarction. We report these two cases to emphasize the importance of the differential diagnosis of the two diseases in elderly patients with neurological disorders including muscle weakness.
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KEYWORD
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Cervical spondylotic myelopathy, Cerebral Infarction, Motor weakness
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