Rinsho Shinkeigaku (Clinical Neurology)

Case Report

A case of spinal cord infarction presenting with unilateral C5 palsy

Tatsuki Matsuda, M.D.1), Takahiko Taniguchi, M.D.1), Misaki Hanya, M.D.1), Keisuke Kitani, M.D.1), Hisashi Takahashi, M.D.1)* and Takashi Kasai, M.D., Ph.D.2)

1)Department of Neurology, North Medical Center, Kyoto Prefectural University of Medicine
2)Department of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine

A 75-year-old man developed sudden-onset tetraparesis preceded by chest pain. MRI of the cervical spine on the day of onset showed no abnormalities. Although his motor symptoms improved gradually, the weakness of the muscles innervated by the C5 nerve root persisted. Sensory and autonomic deficits were detected on an additional neurological examination, and follow-up MRI eight days after onset revealed spinal cord infarction at the right anterior horn at C3-C4. This case suggests that motor symptoms mimicking a radiculopathy could be present during the course of spinal cord infarction.
Full Text of this Article in Japanese PDF (893K)

(CLINICA NEUROL, 64: 105−108, 2024)
key words: spinal cord infarction, monoparesis, C5 palsy

(Received: 14-Aug-23)