A Case of Posterior Spinal Artery Infarction after Cervical Trauma
Journal of the Korean Neurological Association
; : 446-449, 2000.
Article
in Ko
| WPRIM
| ID: wpr-146855
Responsible library:
WPRO
ABSTRACT
Clinically, the infarction of posterior spinal arteries is rarely recognized due to rich anastomosis. As a result, there have been few clinical reports of posterior spinal artery infarction. A 38-year-old man experienced severe transitory neck and occipital pain after his friend had struck him on the cervical area. A few days later, he developed dysmetria, dysdiadochokinesia, and decreased vibration and position senses on the right side of his body. Routine laboratory find-ings, an echocardiogram, a work-up for connective tissue diseases, and CSF studies were all found to be normal. A MRI showed increased signals in the right posterior and posterolateral part of the lower medulla and some portion of the first cervical cord on T2- and proton-weighted images without significant enhancements. A cerebral angiogram showed a long narrow thread-like segment in the distal portion of the right vertebral artery, which was indicative of a dissection. The right posterior inferior cerebellar artery was not visualized.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Arteries
/
Proprioception
/
Spinal Cord
/
Vertebral Artery
/
Vibration
/
Lateral Medullary Syndrome
/
Magnetic Resonance Imaging
/
Cerebellar Ataxia
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Connective Tissue Diseases
/
Friends
Limits:
Adult
/
Humans
Language:
Ko
Journal:
Journal of the Korean Neurological Association
Year:
2000
Type:
Article