Progressive spasticity in an infant.
A 15-month-old girl with progressive spasticity presented for evaluation of cerebral palsy. Neurological examination revealed severe asymmetric spasticity with normal cranial nerves. Bayley developmental assessment showed a mental age of 12 months and a motor age of 9 months. Magnetic resonance imaging scan of the brain was normal, however a scan of the cervical spine showed an enhancing intramedullary lesion. Surgical exploration revealed an aneurysm which was successfully embolized. The differential diagnosis of cervical cord lesions in infants is discussed.
Phillips
J P
JP
Department of Neurology, Indiana University Medical Center, Indianapolis 46202, USA.
Garg
B P
BP
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology*; D002547:Cerebral Palsy / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D011859:Radiography; D012307:Risk Factors; D013116:Spinal Cord / Q000473:pathology*