An unusual case of acute wandering paralysis

• Main Authors: Federico Bianchi, Quintino Giorgio D'Alessandris, Roberto Pallini, Eduardo Fernandez, Liverana Lauretti
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Journal of Acute Disease
• Subjects: Meningioma; Diabetes; Spondylodiscitis; Spinal magnetic resonance imaging
• Online Access: http://www.sciencedirect.com/science/article/pii/S222161891500092X

The authors reported on a 63-year-old diabetic male who developed a strange wandering hemiparesis affecting first left side and then right side, not consistent with a right parasagittal meningioma nor with ischemic stroke. The subsequent rapid worsening of clinical picture, with occurrence of paraparesis, urinary incontinence and midthoracic sensory level, together with the evidence of leucocytosis, led to the diagnosis of a T6-T7 spondylodiscitis with spinal cord compression. The authors underlied the difficulties in diagnosing this condition in the setting of general hospital practice and the importance of clinical and neurological examination.