Document Detail


Isolated Shoulder Palsy due to Cortical Infarction: A Case Report and Literature Review of Clinicoradiological Correlations.
MedLine Citation:
PMID:  24008130     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Clinicoradiological correlations observed in patients with small cortical infarctions have supported somatotopic representation of different parts of body areas in primary motor cortex. However, isolated shoulder weakness because of infarction in precentral gyrus has rarely been described. We report an 80-year-old woman with isolated shoulder palsy because of cortical ischemic infarction in the base of the left precentral gyrus as confirmed by brain magnetic resonance imaging. In our patient, cardiogenic embolism or Trousseau syndrome associated with lung cancer was considered the cause of ischemic infarction. Physicians should consider small cortical infarction, when a patient complains of sudden onset of shoulder weakness without pain. In line with the previous reports, a responsible cortical lesion in our patient corresponded to motor shoulder area in the motor homunculus reported to be located more medially to the hand area.
Authors:
Akiko Kawasaki; Keisuke Suzuki; Hidehiro Takekawa; Norito Kokubun; Masanari Yamamoto; Yohei Asakawa; Madoka Okamura; Koichi Hirata
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-9-2
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  -     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-9-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Neurology, Dokkyo Medical University, Tochigi, Japan.
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