Unilateral right occipital condyle to C2 level spinal cord infarction associated with ipsilateral vertebral artery stenosis and contralateral vertebral artery dissection: A case report

Chin Man Wang*, Wei Lun Tsai, Yang Lan Lo, Ji Yih Chen, Alice May-Kuen Wong

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

8 Scopus citations

Abstract

Objectives: To illustrate the clinical presentation, diagnosis, management, and outcome of unilateral right occipital condyle to C2 level spinal cord infarction. Setting: A teaching hospital in Taiwan. Findings: A 37-year-old man presented with acute-onset severe right neck pain before weakness developed in both right limbs. Early diagnosis was delayed due to mild intervertebral herniation of the C4-C5 disk. Magnetic resonance imaging revealed unilateral right occipital condyle to C2 level infarction. Angiography showed stenosis of the right vertebral artery (foraminal and intradural segments), and dissection of the left vertebral artery at the C1-C2 level. At discharge, he walked with assistance; 2 weeks later, he walked independently. Conclusions: An early diagnosis is difficult but important, as it facilitates appropriate treatment for better functional and survival outcomes. Accurate early diagnosis can be made with adequate knowledge of spinal cord infarction and high index of suspicion for this condition.

Original languageEnglish
Pages (from-to)118-121
Number of pages4
JournalJournal of Spinal Cord Medicine
Volume34
Issue number1
DOIs
StatePublished - 01 2011

Keywords

  • Hemiparesis
  • Neck pain
  • Spinal cord infarction
  • Vertebral artery dissection
  • Vertebral artery stenosis

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