RESUMO
A 60-year-old man complained of 20-25 second episodes of bilateral arm paralysis. Neuroimaging disclosed spinal cord compression at the C3-4 level caused by a herniated disc and retrolisthesis. Spinal cord ischemia due to impingement of a vertebral artery or its spinal branch was suspected but could not be substantiated by neuroimaging. Discectomy and fusion eliminated these attacks.
Assuntos
Deslocamento do Disco Intervertebral/complicações , Paralisia/etiologia , Compressão da Medula Espinal/complicações , Extremidade Superior/inervação , Vértebras Cervicais , Humanos , Deslocamento do Disco Intervertebral/cirurgia , Angiografia por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Fusão Vertebral , SíndromeAssuntos
Angioplastia/instrumentação , Doenças das Artérias Carótidas/cirurgia , Endarterectomia das Carótidas , Stents , Angioplastia/efeitos adversos , Isquemia Encefálica/etiologia , Isquemia Encefálica/patologia , Imagem de Difusão por Ressonância Magnética , Endarterectomia das Carótidas/efeitos adversos , Humanos , Embolia Intracraniana/etiologia , Embolia Intracraniana/patologia , Acidente Vascular Cerebral/etiologia , Acidente Vascular Cerebral/patologia , Terminologia como Assunto , Resultado do TratamentoRESUMO
An elderly woman complaining of a gait disorder was found to have the GALOP syndrome (gait ataxia, late-onset polyneuropathy). She exhibited mild distal weakness and sensory loss in the legs, a positive Romberg, and an unsteady gait. Serum immunofixation disclosed a monoclonal IgM-kappa protein. There was specific IgM binding to galopin, a central nervous system white matter antigen. Periodic treatment with intravenous immunoglobulin has alleviated her neurologic symptoms. She has now been followed for 7 years and maintained significant improvement in neurologic symptoms and signs.
