Medullary hemorrhage presenting segmental dissociated sensory disturbance.

• Tanaka Hiromichi

  Department of Neurology, Shimane Prefectural Central Hospital

• Mori Nozomi

  Department of Neurology, Shimane Prefectural Central Hospital

• Kagimoto Hiroshi

  Department of Neurology, Shimane Prefectural Central Hospital

• Saito Jun

  Department of Neurology, Shimane Prefectural Central Hospital

Bibliographic Information

Other Title

• 分節性解離性感覚障害を呈した延髄出血の１例

Abstract

A 37-year-old man noted thermohypoesthesia of his right arm and chest, followed by dysphagia, nausea and unsteady gait. Five days later, neurological examinations revealed left limb ataxia, truncal instability with a tendency to lean to the right, hypalgesia and thermohypoesthesia on the right side of the region between the levels C2 to Th12. MRI on the 14th day disclosed a high intensity lesion on T₁- and T₂-weighted images and a mixed signal intensity lesion on the T₂-weighted image in the left lateral medulla oblongata. Cerebral angiography demonstrated no abnormality. It was inferred that the segmental dissociated sensory disturbance with facial sparing had been caused by partial involvement of the lateral spinothalamic tract which is somatotopically arranged with the fibers from the sacral segments most lateral. There were no risk factors for cerebral bleeding. We consider that the etiology of this hematoma may have been a crytpic vascular malformation.

Journal

• Japanese Journal of Stroke

  Japanese Journal of Stroke 19 (2), 159-164, 1997

  The Japan Stroke Society

Keywords

• medullary hemorrhage
• segmental dissociated sensory disturbance
• vascular malformation
• MRI

Details

• CRID: 1390282679614577024
• NII Article ID: 130003631263
• NII Article ID: 10005236360
• NII Book ID: AN0020186X
• DOI: 10.3995/jstroke.19.159
• ISSN: 18831923
• ISSN: 09120726
• Web Site: https://search.jamas.or.jp/link/ui/1998025371
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed