|
KMID : 1130620140100020171
|
|
Journal of Clinical Neurology
2014 Volume.10 No. 2 p.171 ~ p.173
|
|
|
Atypical Anterior Spinal Artery Infarction due to Left Vertebral Artery Occlusion Presenting with Bilateral Hand Weakness
|
|
Kim Min-Ji
Jang Mi-Hee
Choi Mi-Song
Kang Suk-Yun
Kim Joo-Yong
Kwon Ki-Han
Kang Ik-Won
Cho Soo-Jin
|
|
|
Abstract
|
|
|
Background: Infarct of the anterior spinal artery is the most common subtype of spinal cord infarct, and is characterized by bilateral motor deficits with spinothalamic sensory deficits. We experienced a case with atypical anterior-spinal-artery infarct that presented with bilateral hand weakness but without sensory deficits.
Case Report: A 29-year-old man presented with sudden neck pain and bilateral weakness of the hands. Magnetic resonance imaging (MRI) of the brain did not reveal any lesion. His motor symptoms improved rapidly except for mild weakness in his left wrist and fingers. Magnetic resonance angiography showed proximal occlusion of the left vertebral artery; a spine MRI revealed left cervical cord infarction.
Conclusions: Bilateral or unilateral hand weakness can be the sole symptom of a cervical cord infarct.
|
|
|
KEYWORD
|
|
|
spinal cord infarction, vertebral artery occlusion, hands, anterior spinal artery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
   
|