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3.
Journal of the Korean Child Neurology Society ; (4): 257-261, 2011.
Artículo en Inglés | WPRIM | ID: wpr-80157

RESUMEN

In the present study, we report muscular atrophy of the right distal upper extremity in a 14-year-old boy. The disease progressed insidiously for about 2 years, and during our first examination, he exhibited weakness and wasting in the right hand, and paresthesia on the C6-8 dermatomal area in the right upper extremity. Electromyography revealed neurogenic changes in atrophic muscles. Conduction velocity of the ulnar nerve of the affected hand was decreased. Magnetic resonance imaging (MRI) of the cervical spine in the neutral position revealed focal spinal cord atrophy and a small area of high signal intensity at C5-6 level. In the flexion-induced cervical spine MRI scan, the spinal cord was noticed to be compressed by the posterior dural sac with a forward shift and flow voids in the epidural space. All these parameters led to the diagnosis of Hirayama disease (HD). This is the first report of HD in Korea by pediatrician, even though it is characterized by juvenile onset.


Asunto(s)
Adolescente , Humanos , Masculino , Atrofia , Electromiografía , Espacio Epidural , Mano , Corea (Geográfico) , Imagen por Resonancia Magnética , Músculos , Atrofia Muscular , Parestesia , Médula Espinal , Compresión de la Médula Espinal , Atrofias Musculares Espinales de la Infancia , Columna Vertebral , Nervio Cubital , Extremidad Superior
4.
Korean Journal of Stroke ; : 37-40, 2011.
Artículo en Coreano | WPRIM | ID: wpr-18675

RESUMEN

The most common etiology of spontaneous, non-traumatic intracerebral hemorrhage is hypertension. One of the most decisive factors for the determination of etiology is location of the hemorrhage. Here, we report on a 53-year-old female patient who was admitted with left putaminal hemorrhage. She did not have prominent vascular risk factors other than fundoscopic signs of hypertensive retinopathy. Magnetic resonance imaging and angiography revealed arteriovenous malformation (AVM) in the basal ganglia, which was fed by the lateral lenticulostriate artery. This case suggests that we should consider an AVM-related hemorrhage in relatively young stroke patients, regardless of hematoma location or presence of accompanying hypertension.


Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Angiografía , Arterias , Malformaciones Arteriovenosas , Ganglios Basales , Hemorragia Cerebral , Hematoma , Hemorragia , Hipertensión , Retinopatía Hipertensiva , Imagen por Resonancia Magnética , Hemorragia Putaminal , Factores de Riesgo , Accidente Cerebrovascular
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