Document Detail

Anterior spinal artery syndrome of the cervical hemicord.
MedLine Citation:
PMID:  1315578     Owner:  NLM     Status:  MEDLINE    
Three patients developed signs of a unilateral cervical cord lesion 6 to 36 h after the acute onset of severe cervico-brachial pain. The neurological deficit progressed over 6 to 18 h. On the painful side a central Horner's syndrome, a hemiparesis with plegia of the hand, and a slight pallhypaesthesia were found. On the opposite side thermhypaesthesia and hypalgesia were noted with a level at the dermatome C5 or C6. T2-weighted MR images revealed in one patient a small area of increased signal intensity restricted to one half of the cervical cord, and electromyography in another patient showed after 6 months evidence of segmental chronic denervation. Both abnormalities were found at the clinically expected level. The findings are consistent with a small infarction of the cervical cord in the perfusion territory of a central (sulco-commissural) artery, a duplicated anterior spinal artery or an anterior spinal branch of the vertebral artery.
R W Baumgartner; W Waespe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European archives of psychiatry and clinical neuroscience     Volume:  241     ISSN:  0940-1334     ISO Abbreviation:  Eur Arch Psychiatry Clin Neurosci     Publication Date:  1992  
Date Detail:
Created Date:  1992-06-11     Completed Date:  1992-06-11     Revised Date:  2009-05-11    
Medline Journal Info:
Nlm Unique ID:  9103030     Medline TA:  Eur Arch Psychiatry Clin Neurosci     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  205-9     Citation Subset:  IM    
Department of Neurology, University Hospital, Zürich, Switzerland.
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MeSH Terms
Cerebellum / blood supply,  physiopathology
Cerebral Infarction / diagnosis,  physiopathology
Functional Laterality / physiology*
Hemiplegia / diagnosis,  physiopathology
Infarction / diagnosis*,  physiopathology
Magnetic Resonance Imaging
Middle Aged
Neurologic Examination
Spinal Cord / blood supply*,  physiopathology
Synaptic Transmission / physiology

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