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Unilateral Pes Cavus as an lnitial Sign of Tethered Cord Syndrome in an Adolescent: A Case Report
박승완,문정보,류병주 대한근전도전기진단의학회 2018 대한근전도 전기진단의학회지 Vol.20 No.2
A 14-year-old student presented with a 2-year history of progressive left foot deformity. High elevated medial arch, hindfoot varus deformity and second to fourth claw toes were idenfied in the left foot without a familial history. Neurologic examinations showed left distal lower extremity weakness and bilateral increased deep tendon reflexes. MRI of whole spine demonstrated thickened filum terminale and spinal defect covered with pulled skin which findings consistent with tethered cord syndrome (TCS). He was referred to neurosurgery department and had a detethering operation of the spinal cord. Two years later, he underwent foot surgery because his foot deformity progressed despite the detethering operation. It is very rare for TCS to present with pes cavus as the only symptom, also in Korea. We suggest that TCS should be considered as one of the differential diagnoses associated with unilateral pes cavus in adolescence so as not to miss the proper period of surgery.
항중성구세포질항체 연관 혈관염에서 망막중심동맥 폐쇄, 급속진행토리콩팥염이 동반된 말초 다발신경병증: 증례보고
박승완,류병주,문정보,곽호준,김윤희 대한근전도전기진단의학회 2018 대한근전도 전기진단의학회지 Vol.20 No.1
We report a case of asymmetric polyneuropathy with left central retinal artery occlusion, rapid progressive glomerulonephritis (RPGN) due to Antineutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV). A-64-year-old man started to have numbness and weakness in both legs. One month later, he suddenly lost a vision in his left eye and had swelling in both legs. Thereafter, weakness progressed to both upper extremities. Multiple eye retinal hemorrhages and cherry-red spots were observed on fundus examination and were diagnosed as central retinal artery occlusion. Pauci-immune crescentic glomerulonephritis were identified after renal biopsy. Nerve conduction study was performed and the patient was diagnosed by peripheral polyneuropathy involving both upper and lower extremities. Clinically, we diagnosed a vasculitis, especially microscopic polyangiitis (MPA).