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Published in: Journal of Orthopaedic Science 5/2015

01-09-2015 | Case Report

Monoparesis of upper extremity due to ipsilateral upper cervical cord compression: report of two cases

Authors: Yoshiharu Kawaguchi, Taketoshi Yasuda, Shoji Seki, Takeshi Hori, Masato Nakano, Tomoatsu Kimura

Published in: Journal of Orthopaedic Science | Issue 5/2015

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Excerpt

Upper cervical cord compression (UCCC) is generally caused by various diseases [1]. The symptoms due to UCCC are varied and diverse [14]. Patients with UCCC have neck pain, posterior occipital headache, quadriparesis, paraparesis, monoparesis, and sensory abnormalities, including cervical myelopathy and radiculopathy [1, 58]. Thus, the judgment of the symptoms owing to UCCC is difficult. Here, we encountered two cases with monoparesis of the upper extremity due to ipsilateral UCCC. This is the first report regarding the rare symptoms of monoparesis and well-demonstrated MRI findings. …
Literature
1.
go back to reference Menezes AH. Developmental abnormalities of the craniocervical junction. In: Winn RH, editor. Youmans neurological surgery. Orlando: WB Saunders; 2003. p. 3331–45. Menezes AH. Developmental abnormalities of the craniocervical junction. In: Winn RH, editor. Youmans neurological surgery. Orlando: WB Saunders; 2003. p. 3331–45.
2.
go back to reference Hirano H, Suzuki H, Sakakibara T, Inoue K, Muramatsu T. Foramen magnum and upper cervical cord tumors. Diagnostic problems. Clin Orthop Relat Res. 1983;176:171–7.PubMed Hirano H, Suzuki H, Sakakibara T, Inoue K, Muramatsu T. Foramen magnum and upper cervical cord tumors. Diagnostic problems. Clin Orthop Relat Res. 1983;176:171–7.PubMed
3.
go back to reference Di Lorenzo ND, Fortuna A, Guidetti B. Craniovertebral junction malformations. Clinicoradiological findings, long-term results, and surgical indications in 63 cases. J Neurosurg. 1982;57:603–8.CrossRefPubMed Di Lorenzo ND, Fortuna A, Guidetti B. Craniovertebral junction malformations. Clinicoradiological findings, long-term results, and surgical indications in 63 cases. J Neurosurg. 1982;57:603–8.CrossRefPubMed
4.
go back to reference Michie MI, Clark M. Neurological syndromes associated with cervical and craniocervical anomalies. Arch Neurol. 1968;18:241–7.CrossRefPubMed Michie MI, Clark M. Neurological syndromes associated with cervical and craniocervical anomalies. Arch Neurol. 1968;18:241–7.CrossRefPubMed
5.
go back to reference Bell H. Paralysis of both arms from injury of the upper portion of the pyramidal decussation: “cruciate paralysis”. J Neurosurg. 1970;33:376–80.CrossRefPubMed Bell H. Paralysis of both arms from injury of the upper portion of the pyramidal decussation: “cruciate paralysis”. J Neurosurg. 1970;33:376–80.CrossRefPubMed
6.
go back to reference Ohaegbulam C, Woodard EJ, Proctor M. Occipitocondylar hyperplasia: an unusual craniovertebral junction anomaly causing myelopathy. Case report. J Neurosurg Pediatr. 2005;103:379–81.CrossRef Ohaegbulam C, Woodard EJ, Proctor M. Occipitocondylar hyperplasia: an unusual craniovertebral junction anomaly causing myelopathy. Case report. J Neurosurg Pediatr. 2005;103:379–81.CrossRef
7.
go back to reference Botelho R, Neto EB, Patriota G, Daniel JW, Dumont PAS, Rotta JM. Basilar invagination: craniocervical instability treated with cervical traction and occipitocervical fixation. Case report. J Neurosurg Spine. 2007;7:444–9.CrossRefPubMed Botelho R, Neto EB, Patriota G, Daniel JW, Dumont PAS, Rotta JM. Basilar invagination: craniocervical instability treated with cervical traction and occipitocervical fixation. Case report. J Neurosurg Spine. 2007;7:444–9.CrossRefPubMed
8.
go back to reference Kukkar N, Amin DV, Beck RT, Bedi N, Freitag P. Cervicomedullary compression at the craniovertebral junction by clivus hyperplasia. A case report. J Bone Joint Surg Am. 2011;93:e119(1–5). Kukkar N, Amin DV, Beck RT, Bedi N, Freitag P. Cervicomedullary compression at the craniovertebral junction by clivus hyperplasia. A case report. J Bone Joint Surg Am. 2011;93:e119(1–5).
9.
go back to reference Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31:315–24.CrossRefPubMed Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31:315–24.CrossRefPubMed
10.
11.
go back to reference Benglis D, Levi AD. Neurologic findings of craniovertebral junction disease. Neurosurgery. 2010;66:A13–21.CrossRef Benglis D, Levi AD. Neurologic findings of craniovertebral junction disease. Neurosurgery. 2010;66:A13–21.CrossRef
12.
go back to reference Marano SR, Calica AB, Sonntag VKH. Bilateral upper extremity paralysis (Bell’s cruciate paralysis) from a gunshot wound to the cervicomedullary junction. Neurosurgery. 1986;18:642–4.CrossRefPubMed Marano SR, Calica AB, Sonntag VKH. Bilateral upper extremity paralysis (Bell’s cruciate paralysis) from a gunshot wound to the cervicomedullary junction. Neurosurgery. 1986;18:642–4.CrossRefPubMed
13.
go back to reference Yayama T, Uchida K, Kobayashi S, Nakajima H, Kubota C, Sato R, Baba H. Cruciate paralysis and hemiplegia cruciate: report of three cases. Spinal Cord. 2006;44:393–8.CrossRefPubMed Yayama T, Uchida K, Kobayashi S, Nakajima H, Kubota C, Sato R, Baba H. Cruciate paralysis and hemiplegia cruciate: report of three cases. Spinal Cord. 2006;44:393–8.CrossRefPubMed
14.
go back to reference Matsumoto M, Toyama Y, Ishikawa M, Chiba K, Suzuki N, Fujimura Y. Increased signal intensity of the spinal cord on magnetic resonance images in cervical compressive myelopathy. Spine. 2000;25:677–82.CrossRefPubMed Matsumoto M, Toyama Y, Ishikawa M, Chiba K, Suzuki N, Fujimura Y. Increased signal intensity of the spinal cord on magnetic resonance images in cervical compressive myelopathy. Spine. 2000;25:677–82.CrossRefPubMed
15.
go back to reference Mizuno J, Nakagawa H, Inoue T, Hashizume Y. Clinicopathological study of “snake-eye appearance” in compressive myelopathy of the cervical spinal cord. J Neurosurg. 2003;99:162–8.PubMed Mizuno J, Nakagawa H, Inoue T, Hashizume Y. Clinicopathological study of “snake-eye appearance” in compressive myelopathy of the cervical spinal cord. J Neurosurg. 2003;99:162–8.PubMed
16.
go back to reference Yukawa Y, Kato F, Yoshihara H, Yanase M, Ito K. MR T2 image classification in cervical compression myelopathy: predictor of surgical outcomes. Spine. 2007;32:1675–8.CrossRefPubMed Yukawa Y, Kato F, Yoshihara H, Yanase M, Ito K. MR T2 image classification in cervical compression myelopathy: predictor of surgical outcomes. Spine. 2007;32:1675–8.CrossRefPubMed
Metadata
Title
Monoparesis of upper extremity due to ipsilateral upper cervical cord compression: report of two cases
Authors
Yoshiharu Kawaguchi
Taketoshi Yasuda
Shoji Seki
Takeshi Hori
Masato Nakano
Tomoatsu Kimura
Publication date
01-09-2015
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 5/2015
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-014-0588-1

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