Dermatomal Sensory Manifestations in Opalski Syndrome

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• 作者：Tomoya Kon ; MD ; PhD ; ^{t-kon@umin.ac.jp} ; Yukihisa Funamizu ; MD ; Tatsuya Ueno ; MD ; PhD ; Rie Haga ; MD ; PhD ; Haruo Nishijima ; MD ; PhD ; Akira Arai ; MD ; PhD ; Chieko Suzuki ; MD ; PhD ; Jinichi Nunomura ; MD ; PhD ; Masayuki Baba ; MD ; PhD ; Masahiko Tomiyama ; MD ; PhD
• 关键词：Dermatomal sensory manifestations ; Opalski syndrome ; sensory level ; lateral medullary infarction ; Wallenberg syndrome
• 刊名：Journal of Stroke and Cerebrovascular Diseases
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：26
• 期：1
• 页码：e18-e19
• 全文大小：214 K
• 卷排序：26

文摘

A 31-year-old Japanese woman presented with sudden-onset unstable gait followed by nuchal pain. A neurological examination revealed right-sided limb weakness and decreased pain and thermal sensation on the left side below the level of the L1 dermatome. A lower lateral medullary infarction with ipsilateral hemiplegia, known as Opalski syndrome, caused by spontaneous vertebral artery dissection was diagnosed by magnetic resonance imaging. The spinothalamic tract in the medulla oblongata has a topographic arrangement of sensory fibers, and the dermatomal sensory deficit in this case can be explained in relation to that. This is the first reported case of Opalski syndrome with dermatomal sensory manifestations. Opalski syndrome could be a differential diagnosis for dermatomal sensory manifestations.