Brachial monoparesis as an isolated manifestation of a paramedian pontine ischemic lesion.
Pure monoparesis is a rare condition characterized by weakness limited to one limb without any other neurologic deficits. We herein report an extremely infrequent case of pure motor monoparesis not due to cortical infarctions but due to a paramedian pontine infarction. A 41-year-old woman was admitted with a sudden onset of weakness in her right upper extremity. On neurological examination, there were no abnormalities except for monoparesis (motor grade IV/V) in the right upper extremity. A magnetic resonance imaging of the brain showed an acute small ischemic lesion in the left paramedian pontine area.
Song
In-Uk
IU
Department of Neurology, College of Medicine, The Catholic University of Korea, South Korea.
Kim
Joong-Seok
JS
Kim
Yeong-In
YI
Lee
Kwang-Soo
KS
D000328:Adult; D001132:Arm / Q000294:innervation; D020526:Brain Stem Infarctions / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D010291:Paresis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011149:Pons / Q000098:blood supply*
D010975:Platelet Aggregation Inhibitors