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Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct

Isolated hemiataxia after a medullary infarct is rare. We describe a case of isolated hemiataxia after a small infarct localized at the ipsilateral dorsolateral medulla. An 83-year-old man developed acute onset of ataxia in the left arm and in both legs. Speech and extraocular movement were normal,...

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Autores principales: Kishi, Masahiko, Sakakibara, Ryuji, Nagao, Takeki, Terada, Hitoshi, Ogawa, Emina
Formato: Texto
Lenguaje:English
Publicado: S. Karger AG 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940263/
https://www.ncbi.nlm.nih.gov/pubmed/20847835
http://dx.doi.org/10.1159/000226120
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author Kishi, Masahiko
Sakakibara, Ryuji
Nagao, Takeki
Terada, Hitoshi
Ogawa, Emina
author_facet Kishi, Masahiko
Sakakibara, Ryuji
Nagao, Takeki
Terada, Hitoshi
Ogawa, Emina
author_sort Kishi, Masahiko
collection PubMed
description Isolated hemiataxia after a medullary infarct is rare. We describe a case of isolated hemiataxia after a small infarct localized at the ipsilateral dorsolateral medulla. An 83-year-old man developed acute onset of ataxia in the left arm and in both legs. Speech and extraocular movement were normal, and he did not have any other neurological manifestations. Brain MRI showed a small infarct localized at the left dorsolateral medulla, which involved the inferior cerebellar peduncle. (123)ECD-SPECT showed hypoperfusion in the left cerebellar hemisphere without clear vascular territory. Neuroimaging findings for our patient suggested the involvement of the inferior cerebellar peduncle that projects to the cerebellum in our patient.
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spelling pubmed-29402632010-09-16 Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct Kishi, Masahiko Sakakibara, Ryuji Nagao, Takeki Terada, Hitoshi Ogawa, Emina Case Rep Neurol Published: July 2009 Isolated hemiataxia after a medullary infarct is rare. We describe a case of isolated hemiataxia after a small infarct localized at the ipsilateral dorsolateral medulla. An 83-year-old man developed acute onset of ataxia in the left arm and in both legs. Speech and extraocular movement were normal, and he did not have any other neurological manifestations. Brain MRI showed a small infarct localized at the left dorsolateral medulla, which involved the inferior cerebellar peduncle. (123)ECD-SPECT showed hypoperfusion in the left cerebellar hemisphere without clear vascular territory. Neuroimaging findings for our patient suggested the involvement of the inferior cerebellar peduncle that projects to the cerebellum in our patient. S. Karger AG 2009-07-21 /pmc/articles/PMC2940263/ /pubmed/20847835 http://dx.doi.org/10.1159/000226120 Text en Copyright © 2009 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: July 2009
Kishi, Masahiko
Sakakibara, Ryuji
Nagao, Takeki
Terada, Hitoshi
Ogawa, Emina
Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct
title Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct
title_full Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct
title_fullStr Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct
title_full_unstemmed Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct
title_short Isolated Hemiataxia and Cerebellar Diaschisis after a Small Dorsolateral Medullary Infarct
title_sort isolated hemiataxia and cerebellar diaschisis after a small dorsolateral medullary infarct
topic Published: July 2009
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940263/
https://www.ncbi.nlm.nih.gov/pubmed/20847835
http://dx.doi.org/10.1159/000226120
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