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Dermatomal sensory manifestations in lateral medullary infarction

机译:延髓外侧梗塞的皮肤感觉感觉表现

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摘要

A 61-year-old man who experienced a sudden onset of unstable gait followed by nuchal pain was admitted to our department. The neurologic examination revealed right-sided limb ataxia, right partial ptosis, and decreased sensation to 50% of the normal side to pinprick and temperature stimuli on the left side below the level of the T-6 dermatome. A lateral medullary infarction caused by spontaneous vertebral artery dissection was diagnosed by magnetic resonance imaging and computed tomography angiography. In conclusion, lateral medullary infarction is an important entity to consider in the differential diagnosis of dermatomal sensory manifestations.
机译:一名61岁的男子因步态不稳而突然发作,随后因颈痛而入院。神经系统检查显示右侧肢体共济失调,右侧部分上睑下垂,左侧的针刺和温度刺激低于T-6皮刀水平时降至正常侧的50%。通过磁共振成像和计算机断层扫描血管造影诊断出自发性椎动脉夹层引起的外侧髓样梗塞。综上所述,外侧延髓梗死是鉴别皮肤感觉感觉表现的重要因素。

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