C5 pure motor spinal cord injury: A case with a rare manifestation of cervical spinal cord injury.
Journal
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
15
04
2018
accepted:
04
10
2018
pubmed:
19
11
2018
medline:
13
2
2019
entrez:
19
11
2018
Statut:
ppublish
Résumé
We report an extremely rare case showing a fifth cervical spine (C5) level pure motor cervical spinal cord injury (SCI). A 55-year-old-man lost consciousness and fell into a bathtub. Immediately after regaining consciousness, the patient had right arm drop alone. He was referred to our department for investigation of right arm drop 4 months later. Neurological examination revealed motor weakness of the right deltoid muscle. MRI of the cervical spine revealed a C3-4 level central disc herniation compressing the spinal cord. An electromyogram study revealed bilateral neurogenic discharges in the deltoid, supraspinatus and infraspinatus muscles. We diagnosed a C5 segmental pure motor SCI. We chose conservative therapy for the present patient. At the latest follow-up visit, the patient showed modest recovery of motor weakness. Although it is unusual, this case illustrates the possibility that C5 segmental pure motor palsy can occur as one of the manifestations of cervical SCI.
Identifiants
pubmed: 30448297
pii: S0967-5868(18)30650-7
doi: 10.1016/j.jocn.2018.10.014
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
332-334Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.