A Case of Posterior Spinal Artery Syndrome in the Cervical Cord: A Review of the Clinicoradiological Literature
スポンサーリンク
概要
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We describe a patient with posterior spinal artery (PSA) syndrome due to vertebral artery (VA) dissection. A 63-year-old woman developed neck pain, bilateral shoulder and arm numbness, and paraparesis after prolonged neck extension during a dental procedure. Neurological examination revealed sensory deficits in the legs, paraparesis, cerebellar ataxia, urinary retention and constipation. Magnetic resonance imaging disclosed T2-hyperintense lesions in the posterolateral C4-C7 cord with partial enhancement. T1-hyperintensity and stenosis were found in the right VA at C3-C5. These clinicoradiological findings suggested bilateral PSA syndrome and unilateral VA dissection. This is the fourth report of VA dissection-induced PSA syndrome.
著者
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Kano Osamu
Department of Neurology, Toho University Omori Medical Center
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Iwasaki Yasuo
Department Of Neurology Toho University Ohmori Hospital
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IKEDA Ken
Department of Cardiovascular and Respiratory Medicine, Akita University Graduate School of Medicine
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Ikeda Ken
Department of Neurology, Toho University Omori Medical Center, Japan
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Murata Kiyoko
Department of Neurology, Toho University Omori Medical Center, Japan
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Muto Mitsuaki
Department of Orthopedics, Makita General Hospital, Japan
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Hirayama Takehisa
Department of Neurology, Toho University Omori Medical Center, Japan
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Murata Kiyoko
Department of Neurology, Toho University Omori Medical Center
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Hirayama Takehisa
Department of Neurology, Toho University Omori Medical Center
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Kano Osamu
Department of Neurology, The Methodist Neurological Institute, Weill Cornell Medical College
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