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뇌경색이 동반된 경추퇴행성척수병증 환자의 근력 약화: 증례보고 2예

Motor Weakness in Patient with Cervical Spondylotic Myelopathy Accompanied by Cerebral Infarct: Two Case Reports

대한노인재활의학회지 2020년 10권 1호 p.28 ~ 32
김창범, 이현성, 박찬혁, 좌경림, 김창환, 정한영, 김명옥,
소속 상세정보
김창범 ( Kim Chang-Beom ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine
이현성 ( Lee Hyun-Sung ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine
박찬혁 ( Park Chan-Hyuk ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine
좌경림 ( Joa Kyung-Lim ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine
김창환 ( Kim Chang-Hwan ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine
정한영 ( Jung Han-Young ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine
김명옥 ( Kim Myeong-Ok ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine

Abstract


Cervical spondylotic myelopathy (CSM) and cerebral infarction are common diseases that cause neurological disorders in the elderly. CSM is rarely accompanied by cerebral infarction. We report two cases of CSM combined with cerebral infarction. The first case involves a 62-year-old patient presenting muscle weakness on the left side. Surgery was performed based on C-spine MRI findings of myelopathy. After the surgery, left hemiplegia persisted with dysarthria. Brain MRI was performed, and the diagnosis of cerebral infarction was made. The second case involves a 74-year-old patient with cognitive deficit presenting muscle weakness on the both side. Surgery was performed based on C-spine MRI findings of myelopathy. However, muscle weakness persisted, and cognitive deficit worsened. We performed brain MRI, and confirmed cerebral infarction. We report these two cases to emphasize the importance of the differential diagnosis of the two diseases in elderly patients with neurological disorders including muscle weakness.

키워드

Cervical spondylotic myelopathy; Cerebral Infarction; Motor weakness

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