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Case Report

BMB. 2017; 2(2): 51-54


Sudden onset of tetraparesis during taking of magnetic resonance imaging in a patient with undiagnosed cervical spinal stenosis: a case report

Feyza Karagoz Guzey, Cihan Isler, Azmi Tufan, Ilker Gulec, Burak Eren, Abdurrahim Tas, Ozgur Yusuf Aktas, Mustafa Safi Vatansever, Ebru Doruk, Murat Yucel, Mustafa Ornek, Eyup Cetin.


Abstract

Objective: To report a case with sudden-onset tetraparesis during taking magnetic resonance imaging (MRI).
Case report: A 73-year-old man was referred with complaints of paresis of his arms and legs. His tetraparesis had developed suddenly while an MRI was performed 10 days before. He had a severe tetraparesis with 0/5 motor strength in his legs and 2/5 motor strength in his arms. On the MRI, a serious spinal stenosis at C3-4 and C4-5 levels and a faint myleopathic signal of the spinal cord at the level of the C4-5 disc space were seen. After posterior decompression, the patient’s tetraparesis improved gradually and he could walk independently and perform his daily activities with mild spasticity after 13 months.
Conclusion: It is known that sudden neurological deficits may be seen in cervical trauma in patients with cervical spinal stenosis due to spondylosis. However, this case who did not have a trauma history showed us that a long period of positioning the neck beyond the patient’s control, even during the execution of MRI, may cause sudden deterioration.

Key words: spinal stenosis, spinal cord compression, complications, quadriplegia

Article Language: Turkish English






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