Résumé
Paroxysmal sensorimotor phenomena of the spinal cord have been associated with contrast material injection, transverse myelitis, spinal cord injury and multiple sclerosis. We report a 48-year-old woman with recurrent tonic spasms, which occurred 1 month after acute cervical cord myelopathy. A tingling sensation beginning in the left leg was followed by painful tonic spasm and abnormal sensation of the upper and lower right limbs except the face. Consciousness, scalp EEG was normal and SPECT showed hot uptake in the cervical cord during spasms.
Sujets)
Femelle , Humains , Adulte d'âge moyen , Conscience , Électroencéphalographie , Membres , Jambe , Sclérose en plaques , Myélite transverse , Cuir chevelu , Sensation , Spasme , Moelle spinale , Maladies de la moelle épinière , Traumatismes de la moelle épinière , Tomographie par émission monophotoniqueRésumé
Paroxysmal sensorimotor phenomena of the spinal cord have been associated with contrast material injection, transverse myelitis, spinal cord injury and multiple sclerosis. We report a 48-year-old woman with recurrent tonic spasms, which occurred 1 month after acute cervical cord myelopathy. A tingling sensation beginning in the left leg was followed by painful tonic spasm and abnormal sensation of the upper and lower right limbs except the face. Consciousness, scalp EEG was normal and SPECT showed hot uptake in the cervical cord during spasms.
Sujets)
Femelle , Humains , Adulte d'âge moyen , Conscience , Électroencéphalographie , Membres , Jambe , Sclérose en plaques , Myélite transverse , Cuir chevelu , Sensation , Spasme , Moelle spinale , Maladies de la moelle épinière , Traumatismes de la moelle épinière , Tomographie par émission monophotoniqueRésumé
To eveluate the risk factors which are related to recurrence of ischemic stroke, we selected subjects who were admitted to YNUH due to recurrent stroke and compared their risk factors with non-recurred group- who suffered from single ischemic stroke. In the subjects, 55 of them are men and 22 were women and in the non-recurred groups, 84 of them were men and 40 were women, Subject's age ranged from 29 to 86 years(Mean 62. 5years), and non-recurred group's age ranged from 27 to 90 years(Mean 60.7years), Peak incidence of ischemic stroke is in the 7th decade in both groups. Age and sex are not statistically significant for recurrence of ischemic stroke. The patient's history of diabetes mellitus, myocardial infarction, atrial fibrillation, transient attack and type or site of ischemic stroke had no significant effect statistically on the recurrent ischemic stroke. However, when the patient had previous history of hypertension or systolic blood pressure more than 160mmHg and diastolic more than 95mmHg, there was substantial difference (P<0.05) between the two group in the recurrence of ischemic stroke. According to the above results, hypertension is most likely significang risk factor of the recurrence of ischemic stroke within 2yeats after initial one. Therefore, adequate treatment of the hypertension is impertant for the prevention of ischemic stroke. Further study is required for searching other risk factors.