Spastic quadriparesis, dysarthria, and dysphagia following cervical hyperextension: a traumatic pontomedullary syndrome.
A 44-year-old man developed a clinical syndrome characterized by nonprogressive spastic quadriparesis, dysarthria, and dysphagia following a severe cervical hyperextension injury. These clinical features, coupled with normal neuroimaging studies, are consistent with a stretch injury of the corticospinal and corticobulbar tracts at the pontomedullary junction.
Riggs
J E
JE
Department of Neurology, West Virginia University School of Medicine, Morgantown 26506-9180, USA.
Schochet
S S
SS
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology* / Q000473:pathology; D004401:Dysarthria / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008526:Medulla Oblongata / Q000473:pathology; D011149:Pons / Q000473:pathology; D011782:Quadriplegia / Q000209:etiology* / Q000473:pathology; D013035:Spasm; D013577:Syndrome; D014911:Whiplash Injuries / Q000150:complications*