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Korean J Spine Search

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Distal Leg Weakness Misdiagnosed as Spinal Lesion after Trauma
Keun Lee, M.D., Chan Woo Park, M.D., Chan Jong Yoo, M.D., Woo Kyung Kim, M.D., Sang Gu Lee, M.D.
Department of Neurosurgery, Gachon University of Medicine & Science, Gil Medical Center, Incheon, Korea
증례 : 외상환자에서 척추 손상으로 오인된 하지 말단 근력 저하
이 근ㆍ박찬우ㆍ유찬종ㆍ김우경ㆍ이상구
가천대학교 의과대학 길병원 신경외과학교실
Abstract
Pure distal motor weakness, which is not followed with sensory deficit, is a rare symptom. Recently, we experienced two cases of distal motor weakness in trauma patients who presented with foot drop and weakness of distal leg. Initially, we misdiagnosed them as spinal lesion. The lesions, which were revealed by brain CT scan or brain MRI images, restricted to the primary motor cortex in the contralateral hemisphere. We should consider the possibility of brain lesion in the case of the motor weakness limited to one limb in trauma patients and check image study of brain.
Keywords: Pure motor weaknessㆍTrauma


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