Korean J Stroke.  2011 Apr;13(1):45-47.

A Case of Leg Monoparesis with Sensory Deficit Due to Cerebral Infarction

Affiliations
  • 1Department of Neurology, Gachon University Gil Hospital, Incheon, Korea. djshin@gilhospital.com

Abstract

A male patient aged 54 came to the neurology department complaining of weakness and tingling sensation in the left lower extremity during squatting exercises for the previous four days. A neurological examination revealed left proximal leg weakness and hypesthesia on the medial side of the left lower leg. In eight hours after onset, he took brain and lumbar MRIs at a local clinic and the results were normal. In order to identify possible causes, we performed a follow-up lumbar MRI, femoral angiography, electromyography, and nerve conduction study but failed to obtain any abnormal findings. Finally, a recent infarction of right corona radiata was observed by a follow-up brain MRI which was taken 16 days after onset of the symptom. Leg monoparesis caused by cerebral infarction is known to be rare and in particular combines motor and sensory deficits limited to one extremity.

Keyword

Monoparesis; Cerebral infarction; Corona radiata

MeSH Terms

Aged
Angiography
Brain
Cerebral Infarction
Electromyography
Exercise
Extremities
Follow-Up Studies
Humans
Hypesthesia
Infarction
Leg
Lower Extremity
Male
Neural Conduction
Neurologic Examination
Neurology
Paresis
Porphyrins
Sensation
Porphyrins
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