Pure sensory deficit at the t4 sensory level as an isolated manifestation of lateral medullary infarction.
In rare cases restricted sensory deficits along the somatotopic topography of the spinothalamic tract can develop from a lateral medullary infarction. To our knowledge, isolated dermatomal sensory deficit as a single manifestation of a lateral medullary infarction has not been reported previously. A 58-year-old man presenting with sudden left-sided paresthesia complained of sensory deficit of pain and temperature below the left T4 sensory level without other neurologic deficits. Diffuse- and T2-weighted magnetic resonance imaging (MRI) of the brain showed high signal intensities in the right lower medulla oblongata, whereas thoracic-spine MRI and somatosensory evoked potentials produced normal findings.
Song
In-Uk
IU
Department of Neurology, College of Medicine, The Catholic University of Korea.
Kim
Joong-Seok
JS
Lee
Dong-Geun
DG
An
Jae-Young
JY
Ryu
Seon-Young
SY
Lee
Sang-Bong
SB
Kim
Yeong-In
YI
Lee
Kwang-Soo
KS