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Anterior Spinal Artery Infarction at the Cervicomedullary Junction

Published online by Cambridge University Press:  02 December 2014

Teneille E. Gofton  and
Philip A. Barber
Teneille E. Gofton
Affiliation:
Department of Clinical Neurosciences, University of Western Ontario, London Health Sciences Centre, London, ON
Philip A. Barber*
Affiliation:
Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada
*
Foothills Medical Centre, Clinical Neurosciences, Room 162, 1403-29th Street N.W., Calgary, Alberta, T2N 2T9, Canada
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An 81-year-old right handed man presented with bilateral leg weakness. The patient had been previously independent and was medicated with warfarin for atrial flutter. He had longstanding type 2 diabetes, controlled by oral hypoglycemic medication. At presentation, he reported sudden onset left sided weakness with accompanying neck pain at 22h00 the previous evening. Pertinent findings on neurological examination included a left pronator drift and profound left leg weakness with unsustained antigravity strength. Deep tendon reflexes were brisk throughout but absent at the ankles and there was a left extensor plantar response. Cranial nerve and sensory examinations were normal.

Type
Neuroimaging Highlight
Information
Canadian Journal of Neurological Sciences , Volume 33 , Issue 4 , November 2006 , pp. 418 - 420
Copyright
Copyright © The Canadian Journal of Neurological 2006

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