Document Detail

Unilateral right occipital condyle to C2 level spinal cord infarction associated with ipsilateral vertebral artery stenosis and contralateral vertebral artery dissection: a case report.
MedLine Citation:
PMID:  21528635     Owner:  NLM     Status:  MEDLINE    
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.
Chin-Man Wang; Wei-Lun Tsai; Yang-Lan Lo; Ji-Yih Chen; Alice M K Wong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  34     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2011  
Date Detail:
Created Date:  2011-05-02     Completed Date:  2011-05-24     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  118-21     Citation Subset:  IM    
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MeSH Terms
Cerebral Angiography
Diffusion Magnetic Resonance Imaging*
Early Diagnosis
Infarction / pathology*
Neck Pain / pathology
Occipital Bone
Recovery of Function
Spinal Cord / pathology*
Vertebral Artery Dissection / pathology*
Vertebrobasilar Insufficiency / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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