AI Article Synopsis
- Anterior spinal artery syndrome is a rare condition in children, particularly in newborns, highlighted by a case study of a girl with hydrops fetalis and hypothyroidism who experienced arm weakness.
- At around 25 days old, she showed flaccid paresis, and MRI at day 52 indicated atrophy in the cervical spine, specifically from C5 to Th1, without enhancement from the contrast agent used.
- Nerve conduction studies showed no motor potential in her upper limbs, but normal sensory conduction velocity, supporting the diagnosis of this atypical case of anterior spinal artery syndrome.
Article Abstract
Anterior spinal artery syndrome is rare in children, especially in neonates. We present a girl with hydrops fetalis and hypothyroidism who developed flaccid paresis of both arms in the neonatal period (around day 25). MRI of the spine performed on day 52 revealed atrophic changes at C5-Th1 without Gd-DTPA-induced enhancement. Nerve conduction studies were also helpful in the diagnosis;in the upper limbs, motor potential was not elicited, while sensory nerve conduction velocity was normal. These clinical and laboratory findings suggested an atypical case of anterior spinal artery syndrome.
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