A Case of Posterior Spinal Artery Infarction after Cervical Trauma.
- Author:
Jin Hyuck KIM
1
;
Sang Moo LEE
;
Jae Chun BAE
;
Il Hyeong LEE
;
Byung Chul LEE
;
Ki Han KWON
Author Information
1. Department of Neurology, Hallym University College of Medicine.
- Publication Type:Case Report
- Keywords:
Spinal cord;
Infarction;
Posterior inferior cerebellar artery syndrome;
Dissection;
Trauma
- MeSH:
Adult;
Arteries*;
Cerebellar Ataxia;
Connective Tissue Diseases;
Friends;
Humans;
Infarction*;
Lateral Medullary Syndrome;
Magnetic Resonance Imaging;
Neck;
Proprioception;
Spinal Cord;
Vertebral Artery;
Vibration
- From:Journal of the Korean Neurological Association
2000;18(4):446-449
- CountryRepublic of Korea
- Language:Korean
-
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.
