Upper limbs dysmetria caused by cervical spinal cord injury: a case report

BMC Neurol. 2009 Sep 24;9:50. doi: 10.1186/1471-2377-9-50.

Abstract

Background: Upper limbs dysmetria caused by spinal cord injury is very rare. We will discuss the associated mechanism in our articles.

Case presentation: A 51-year-old male had sudden onset of weakness, dysmetria over bilateral upper limbs and ataxia after he fell accidentally. Brain magnetic resonance imaging (MRI) revealed no specific findings. C-spine MRI revealed C1 myelopathy and C4-6 spinal cord compression by bulged disc. The symptoms subsided after surgical intervention.

Conclusion: Sudden onset of upper limbs dysmetria is a sign of dysfunction in cerebellum and its associated pathway. However, lesion in spinal cord can also cause cerebellar signs such as dysmetria.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls
  • Arm / physiopathology
  • Cerebellar Ataxia / diagnosis*
  • Cerebellar Ataxia / etiology*
  • Cerebellar Ataxia / physiopathology
  • Cervical Vertebrae / pathology
  • Humans
  • Intervertebral Disc Displacement / diagnosis
  • Intervertebral Disc Displacement / pathology
  • Intervertebral Disc Displacement / surgery
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Spinal Cord Compression / diagnosis
  • Spinal Cord Compression / pathology
  • Spinal Cord Compression / surgery
  • Spinal Cord Injuries / complications*
  • Spinal Cord Injuries / pathology
  • Spinal Cord Injuries / surgery