Case Report
Spinal Cord (2005) 43, 389–391. doi:10.1038/sj.sc.3101716 Published online 18 January 2005
Brachial diplegia as a result of cervical cord injury
Y A Rajabally1, M Hbahbih1, N Messios2 and R J Abbott1
- 1Department of Neurology, University Hospitals of Leicester, Royal Infirmary, Leicester, UK
- 2Department of Neuroradiology, University Hospitals of Leicester, Royal Infirmary, Leicester, UK
Correspondence: YA Rajabally, Department of Neurology, Univesity Hospitals of Leicester, Royal Infirmary, Leicester LE1 5WW, UK
Abstract
Objective:
To report a case of brachial diplegia with normal lower limb power, after a cervical cord injury.
Design:
Case report of a 63-year-old man who sustained a neck trauma following a fall.
Setting:
Department of Neurology, University Hospitals of Leicester, Royal Infirmary, Leicester, UK.
Case report:
The mechanism of the injury was probably one of hyperflexion resulting in central cervical cord contusion. Initial neurological examination revealed brachial diplegia, with posterior column sensory involvement of the lower limbs which had normal power. The patient was also in urinary retention but had no respiratory involvement. Magnetic resonance imaging (MRI) of the spinal cord showed a hyperintense signal in the central mid-cervical cord.
Conclusion:
Pure brachial diplegia represents a rare clinical presentation of cervical cord pathology, including trauma, of which clinicians should be aware.
Keywords:
brachial diplegia, cervical, central cord syndrome, man-in-the-barrel syndrome, trauma, hyperflexion
MORE ARTICLES LIKE THIS
These links to content published by NPG are automatically generated
RESEARCH
X-ray structure of 5-aminolaevulinate dehydratase, a hybrid aldolase
Nature Structural Biology Article (01 Dec 1997)
Journal of Cerebral Blood Flow & Metabolism Original Article
Cruciate paralysis and hemiplegia cruciata: report of three cases
Spinal Cord Correspondence
