Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report
Context. We describe a case of unilateral posterior upper cervical spinal cord infarction and propose a pathophysiologic mechanism causing this lesion after vertebral artery endovascular intervention. Findings. A 70-year-old male presented with subacute onset of left hemibody sensory changes and gai...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/5070712 |
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| _version_ | 1832553028574511104 |
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| author | Kareem Elzamly Christa Nobleza Ellen Parker Rebecca Sugg |
| author_facet | Kareem Elzamly Christa Nobleza Ellen Parker Rebecca Sugg |
| author_sort | Kareem Elzamly |
| collection | DOAJ |
| description | Context. We describe a case of unilateral posterior upper cervical spinal cord infarction and propose a pathophysiologic mechanism causing this lesion after vertebral artery endovascular intervention. Findings. A 70-year-old male presented with subacute onset of left hemibody sensory changes and gait instability following a left vertebral angioplasty procedure. MRI cervical spine revealed upper posterior cervical spinal cord infarction (PSCI). After 3 months patient had substantial improvement of his symptoms. Conclusion. PSCI is rare but can present as a complication from vertebral artery angioplasty procedure. Early diagnosis of PSCI can be achieved with adequate understanding of its clinical signs and the blood supply of the spinal cord. |
| format | Article |
| id | doaj-art-04c2e570b51e4606b6007edd409c37de |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-04c2e570b51e4606b6007edd409c37de2025-02-03T05:57:07ZengWileyCase Reports in Neurological Medicine2090-66682090-66762018-01-01201810.1155/2018/50707125070712Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case ReportKareem Elzamly0Christa Nobleza1Ellen Parker2Rebecca Sugg3Department of Neurology, University of Mississippi Medical Center, Jackson, USADepartment of Neurology, University of Mississippi Medical Center, Jackson, USADepartment of Radiology, University of Mississippi Medical Center, Jackson, USADepartment of Neurology, University of Mississippi Medical Center, Jackson, USAContext. We describe a case of unilateral posterior upper cervical spinal cord infarction and propose a pathophysiologic mechanism causing this lesion after vertebral artery endovascular intervention. Findings. A 70-year-old male presented with subacute onset of left hemibody sensory changes and gait instability following a left vertebral angioplasty procedure. MRI cervical spine revealed upper posterior cervical spinal cord infarction (PSCI). After 3 months patient had substantial improvement of his symptoms. Conclusion. PSCI is rare but can present as a complication from vertebral artery angioplasty procedure. Early diagnosis of PSCI can be achieved with adequate understanding of its clinical signs and the blood supply of the spinal cord.http://dx.doi.org/10.1155/2018/5070712 |
| spellingShingle | Kareem Elzamly Christa Nobleza Ellen Parker Rebecca Sugg Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report Case Reports in Neurological Medicine |
| title | Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report |
| title_full | Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report |
| title_fullStr | Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report |
| title_full_unstemmed | Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report |
| title_short | Unilateral Upper Cervical Posterior Spinal Cord Infarction after a Neuroendovascular Intervention: A Case Report |
| title_sort | unilateral upper cervical posterior spinal cord infarction after a neuroendovascular intervention a case report |
| url | http://dx.doi.org/10.1155/2018/5070712 |
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