Longitudinally extensive dorsal column spinal cord lesion with sensory ganglionopathy.
Neurol Sci
; 43(8): 5157-5159, 2022 Aug.
Article
em En
| MEDLINE
| ID: mdl-35482156
ABSTRACT
We present a case of a 23-year-old woman with a history of celiac disease who presented with a 2-month history of progressive gait unsteadiness and falls. Neurologic examination exhibited preserved motor strength, diffuse areflexia, and ataxic gait. Autoimmune and infectious workups were unremarkable, including vitamin B12. Electrodiagnostic testing showed absent diffuse sensory responses, consistent with sensory ganglionopathy. Total spine magnetic resonance imaging (MRI) revealed a non-enhancing, posterior cord, hyperintense signal from C1-T11. Partial improvement in her sensory ataxia was noted after 6 months of high-dose steroids without dorsal cord signals change on repeat MRI that suggests Wallerian degeneration of sensory axons.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças da Medula Espinal
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
/
Female
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Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article