Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome

We describe the case of a 39-year-old woman with signs and symptoms suggesting cauda equina syndrome. Lumbosacral magnetic resonance imaging (MRI) demonstrated no lesion at this level, while cervical MRI showed a T2-hyperintense lesion in the middle-right anterolateral region of the cervical spinal...

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Main Authors: Giulia Vinceti, Andrea Zini, Paolo Nichelli, Jessica Mandrioli
Format: Article
Language:English
Published: Karger Publishers 2012-06-01
Series:Case Reports in Neurology
Subjects:
Online Access:http://www.karger.com/Article/FullText/339445
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spelling doaj-ecdd34ce6ded4609a95184fd6a1bd03a2020-11-24T22:52:32ZengKarger PublishersCase Reports in Neurology1662-680X2012-06-01429710010.1159/000339445339445Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated SyndromeGiulia VincetiAndrea ZiniPaolo NichelliJessica MandrioliWe describe the case of a 39-year-old woman with signs and symptoms suggesting cauda equina syndrome. Lumbosacral magnetic resonance imaging (MRI) demonstrated no lesion at this level, while cervical MRI showed a T2-hyperintense lesion in the middle-right anterolateral region of the cervical spinal cord, which may explain the symptoms by involving the anterior spinothalamic tract. We suggest that in cases with cauda equina syndrome presentation and normal lumbosacral MRI, a cervicodorsal lesion should be considered during diagnostic assessment.http://www.karger.com/Article/FullText/339445PolyradiculopathyCauda equina syndromeMagnetic resonance imagingSpinal diseases
collection DOAJ
language English
format Article
sources DOAJ
author Giulia Vinceti
Andrea Zini
Paolo Nichelli
Jessica Mandrioli
spellingShingle Giulia Vinceti
Andrea Zini
Paolo Nichelli
Jessica Mandrioli
Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome
Case Reports in Neurology
Polyradiculopathy
Cauda equina syndrome
Magnetic resonance imaging
Spinal diseases
author_facet Giulia Vinceti
Andrea Zini
Paolo Nichelli
Jessica Mandrioli
author_sort Giulia Vinceti
title Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome
title_short Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome
title_full Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome
title_fullStr Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome
title_full_unstemmed Sensory Loss Mimicking Cauda Equina Syndrome due to Cervical Spinal Lesion in a Patient with Clinically Isolated Syndrome
title_sort sensory loss mimicking cauda equina syndrome due to cervical spinal lesion in a patient with clinically isolated syndrome
publisher Karger Publishers
series Case Reports in Neurology
issn 1662-680X
publishDate 2012-06-01
description We describe the case of a 39-year-old woman with signs and symptoms suggesting cauda equina syndrome. Lumbosacral magnetic resonance imaging (MRI) demonstrated no lesion at this level, while cervical MRI showed a T2-hyperintense lesion in the middle-right anterolateral region of the cervical spinal cord, which may explain the symptoms by involving the anterior spinothalamic tract. We suggest that in cases with cauda equina syndrome presentation and normal lumbosacral MRI, a cervicodorsal lesion should be considered during diagnostic assessment.
topic Polyradiculopathy
Cauda equina syndrome
Magnetic resonance imaging
Spinal diseases
url http://www.karger.com/Article/FullText/339445
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