| Unilateral right occipital condyle to C2 level spinal cord infarction associated with ipsilateral vertebral artery stenosis and contralateral vertebral artery dissection: a case report. | |
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MedLine Citation:
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PMID: 21528635 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Chin-Man Wang; Wei-Lun Tsai; Yang-Lan Lo; Ji-Yih Chen; Alice M K Wong |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The journal of spinal cord medicine Volume: 34 ISSN: 1079-0268 ISO Abbreviation: J Spinal Cord Med Publication Date: 2011 |
Date Detail:
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Created Date: 2011-05-02 Completed Date: 2011-05-24 Revised Date: 2012-01-02 |
Medline Journal Info:
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Nlm Unique ID: 9504452 Medline TA: J Spinal Cord Med Country: England |
Other Details:
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Languages: eng Pagination: 118-21 Citation Subset: IM |
Affiliation:
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Physical Medicine and Rehabilitation, Chang-Gung Memorial Hospital, Taoyuan, Taiwan, Republic of China. cmw1314@adm.cgmh.org.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Axis Cerebral Angiography Diffusion Magnetic Resonance Imaging* Early Diagnosis Humans Infarction / pathology* Male Neck Pain / pathology Occipital Bone Recovery of Function Spinal Cord / pathology* Vertebral Artery Dissection / pathology* Vertebrobasilar Insufficiency / pathology* |
| Comments/Corrections | |
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