Atypical Anterior Spinal Artery Infarction due to Left Vertebral Artery Occlusion Presenting with Bilateral Hand Weakness.
10.3988/jcn.2014.10.2.171
- Author:
Min Ji KIM
1
;
Mi Hee JANG
;
Mi Song CHOI
;
Suk Yun KANG
;
Joo Yong KIM
;
Ki Han KWON
;
Ik Won KANG
;
Soo Jin CHO
Author Information
1. Department of Neurology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
spinal cord infarction;
vertebral artery occlusion;
hands;
anterior spinal artery
- MeSH:
Adult;
Arteries*;
Brain;
Fingers;
Hand*;
Humans;
Infarction*;
Magnetic Resonance Angiography;
Magnetic Resonance Imaging;
Neck Pain;
Spinal Cord;
Spine;
Vertebral Artery*;
Wrist
- From:Journal of Clinical Neurology
2014;10(2):171-173
- CountryRepublic of Korea
- Language:English
-
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.
