Spinal Cord Infarction in an Adolescent with Protein S Deficiency: A Case Report and Literature Review

被引:0
作者
Kubota, Takafumi
Hosaka, Tatsuhiko
Ando, Daisuke
Ikeda, Kensuke [1 ]
Izumi, Rumiko
Misu, Tatsuro
Warita, Hitoshi
Aoki, Masashi
机构
[1] Tohoku Univ Hosp, Dept Neurol, Sendai, Japan
关键词
spinal cord infarction; stroke; thrombosis; thrombotic disorder; protein S deficiency; anticoagulation; ISCHEMIC-STROKE; ARTERY SYNDROME; CHILDREN; ONSET;
D O I
10.2169/internalmedicine.0153-22
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Protein S deficiency causes spinal cord infarction in rare cases. We herein report the first case of severe cervicothoracic cord infarction in an adolescent with protein S deficiency. A 16-year-old boy presented with neck pain, four-limb paralysis, and numbness. Magnetic resonance imaging revealed spinal artery infarction in the C4 to Th4 area. Protein S antigen and activity were decreased. The patient was diagnosed with protein S deficiency-associated cervicothoracic cord infarction, which was treated with anticoagulation. Protein S deficiency should be considered as a potential cause of spinal cord infarction in young healthy patients and should be appropriately treated with anticoagulation.
引用
收藏
页码:2415 / 2418
页数:4
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