Pure Motor Monoparesis in the Leg due to a Lateral Medullary Infarction
A 76-year-old man with essential hypertension abruptly presented with slight left-sided leg weakness, despite normal strength in the other extremities. Left-sided Babinski's reflex was detected. There were no other neurologic abnormalities. Cranial magnetic resonance imaging demonstrated a smal...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/758482 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562118958776320 |
|---|---|
| author | Hiromasa Tsuda Kozue Tanaka Shuji Kishida |
| author_facet | Hiromasa Tsuda Kozue Tanaka Shuji Kishida |
| author_sort | Hiromasa Tsuda |
| collection | DOAJ |
| description | A 76-year-old man with essential hypertension abruptly presented with slight left-sided leg weakness, despite normal strength in the other extremities. Left-sided Babinski's reflex was detected. There were no other neurologic abnormalities. Cranial magnetic resonance imaging demonstrated a small infarction in the lower lateral medulla oblongata on the left side. Cranial magnetic resonance angiography demonstrated an absence of flow of the left vertebral artery. He became asymptomatic within 10 days under intravenous antiplatelet agent. The corticospinal tract fibers innervating the lower extremity caudal to the pyramidal decussation might be involved. We emphasize that this is a first reported case of pure motor monoparesis in the leg due to lateral medullary infarction. |
| format | Article |
| id | doaj-art-8ea6ad9d01a448db8349814ef25f1476 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8ea6ad9d01a448db8349814ef25f14762025-02-03T01:23:24ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/758482758482Pure Motor Monoparesis in the Leg due to a Lateral Medullary InfarctionHiromasa Tsuda0Kozue Tanaka1Shuji Kishida2Department of Neurology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, JapanDepartment of Neurology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, JapanDepartment of Neurology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, JapanA 76-year-old man with essential hypertension abruptly presented with slight left-sided leg weakness, despite normal strength in the other extremities. Left-sided Babinski's reflex was detected. There were no other neurologic abnormalities. Cranial magnetic resonance imaging demonstrated a small infarction in the lower lateral medulla oblongata on the left side. Cranial magnetic resonance angiography demonstrated an absence of flow of the left vertebral artery. He became asymptomatic within 10 days under intravenous antiplatelet agent. The corticospinal tract fibers innervating the lower extremity caudal to the pyramidal decussation might be involved. We emphasize that this is a first reported case of pure motor monoparesis in the leg due to lateral medullary infarction.http://dx.doi.org/10.1155/2012/758482 |
| spellingShingle | Hiromasa Tsuda Kozue Tanaka Shuji Kishida Pure Motor Monoparesis in the Leg due to a Lateral Medullary Infarction Case Reports in Medicine |
| title | Pure Motor Monoparesis in the Leg due to a Lateral Medullary Infarction |
| title_full | Pure Motor Monoparesis in the Leg due to a Lateral Medullary Infarction |
| title_fullStr | Pure Motor Monoparesis in the Leg due to a Lateral Medullary Infarction |
| title_full_unstemmed | Pure Motor Monoparesis in the Leg due to a Lateral Medullary Infarction |
| title_short | Pure Motor Monoparesis in the Leg due to a Lateral Medullary Infarction |
| title_sort | pure motor monoparesis in the leg due to a lateral medullary infarction |
| url | http://dx.doi.org/10.1155/2012/758482 |
| work_keys_str_mv | AT hiromasatsuda puremotormonoparesisinthelegduetoalateralmedullaryinfarction AT kozuetanaka puremotormonoparesisinthelegduetoalateralmedullaryinfarction AT shujikishida puremotormonoparesisinthelegduetoalateralmedullaryinfarction |