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Isolated Distal Leg Weakness due to a Small Cerebral Infarction Masquerading as a Spinal Lesion

Authors
 In Bo Han  ;  Jung Yong Ahn  ;  Sang Sup Chung  ;  Young Sun Chung 
Citation
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.41(3) : 182-185, 2007 
Journal Title
 Journal of Korean Neurosurgical Society (대한신경외과학회지) 
ISSN
 1225-8245 
Issue Date
2007
Abstract
Acute stroke with isolated monoparesis manifesting as distal weakness of a single lower extremity has rarely been described. We report two patients with small cortical infarction who had distal weakness of a single lower extremity. In both cases, diffusion-weighted image (DWI) was used to detect small lesions in the contralateral cortex. These cases illustrate that small cortical infarction can cause isolated monoparesis limited to distal part of the leg and it may be misdiagnosed as spinal lesions, especially when lower back pain and transient sensory symptoms are accompanied. In case of the abrupt onset of weakness limited to one lower limb, the possibility of stroke should be considered and careful attention to identify cortical lesions using magnetic resonance imaging, especially DWI is required.
Files in This Item:
T200700942.pdf Download
DOI
10.3340/jkns.2007.41.3.182
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Jung Yong(안정용)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96425
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