TY - JOUR
T1 - Unilateral right occipital condyle to C2 level spinal cord infarction associated with ipsilateral vertebral artery stenosis and contralateral vertebral artery dissection
T2 - A case report
AU - Wang, Chin Man
AU - Tsai, Wei Lun
AU - Lo, Yang Lan
AU - Chen, Ji Yih
AU - Wong, Alice May-Kuen
PY - 2011/1
Y1 - 2011/1
N2 - 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.
AB - 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.
KW - Hemiparesis
KW - Neck pain
KW - Spinal cord infarction
KW - Vertebral artery dissection
KW - Vertebral artery stenosis
UR - http://www.scopus.com/inward/record.url?scp=79953061460&partnerID=8YFLogxK
U2 - 10.1179/107902610X12883422813543
DO - 10.1179/107902610X12883422813543
M3 - 文章
C2 - 21528635
AN - SCOPUS:79953061460
SN - 1079-0268
VL - 34
SP - 118
EP - 121
JO - Journal of Spinal Cord Medicine
JF - Journal of Spinal Cord Medicine
IS - 1
ER -