Midlateral medullary infarction presenting with isolated thermoanaesthesia: a case report
Abstract Background A small lateral medullary lesion could produce isolated impairment of temperature sensation without concomitant impaired pain sensation. However, only one such case has ever been reported, and there are no reports on subjective symptoms and detailed somatosensory testing. Case pr...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2022-07-01
|
Series: | BMC Neurology |
Subjects: | |
Online Access: | https://doi.org/10.1186/s12883-022-02796-x |
_version_ | 1818192866586918912 |
---|---|
author | Keisuke Hanada Kayoko Yokoi Natsuko Kashida Ryota Shimomura Daiki Murata Kazumi Hirayama |
author_facet | Keisuke Hanada Kayoko Yokoi Natsuko Kashida Ryota Shimomura Daiki Murata Kazumi Hirayama |
author_sort | Keisuke Hanada |
collection | DOAJ |
description | Abstract Background A small lateral medullary lesion could produce isolated impairment of temperature sensation without concomitant impaired pain sensation. However, only one such case has ever been reported, and there are no reports on subjective symptoms and detailed somatosensory testing. Case presentation Herein, we report the case of a 53-year-old female patient presenting with impaired temperature sensation on the left half of her body, from the neck down, following a small infarction of the right midlateral medulla. The chronological changes in the patient's introspection regarding impairment of thermoception and the results of detailed somatosensory tests, including thermal sense, are shown in this report. Conclusions Thorough somatosensory tests, personal descriptions of symptoms, and electrophysiological quantification of similar cases are needed to improve our understanding of the neurological separation of the sensations of pain and temperature at the medullary level. |
first_indexed | 2024-12-12T00:37:19Z |
format | Article |
id | doaj.art-10dea3f3498b44c7bf3b89c4dd02086f |
institution | Directory Open Access Journal |
issn | 1471-2377 |
language | English |
last_indexed | 2024-12-12T00:37:19Z |
publishDate | 2022-07-01 |
publisher | BMC |
record_format | Article |
series | BMC Neurology |
spelling | doaj.art-10dea3f3498b44c7bf3b89c4dd02086f2022-12-22T00:44:19ZengBMCBMC Neurology1471-23772022-07-012211710.1186/s12883-022-02796-xMidlateral medullary infarction presenting with isolated thermoanaesthesia: a case reportKeisuke Hanada0Kayoko Yokoi1Natsuko Kashida2Ryota Shimomura3Daiki Murata4Kazumi Hirayama5Department of Rehabilitation, Suishokai Murata HospitalDepartment of Occupational Therapy, Graduate School of Health Sciences, Yamagata Prefectural University of Health SciencesDepartment of Rehabilitation, Suishokai Murata HospitalDepartment of Rehabilitation, Suishokai Murata HospitalDepartment of Neurosurgery, Suishokai Murata HospitalDepartment of Occupational Therapy, Graduate School of Health Sciences, Yamagata Prefectural University of Health SciencesAbstract Background A small lateral medullary lesion could produce isolated impairment of temperature sensation without concomitant impaired pain sensation. However, only one such case has ever been reported, and there are no reports on subjective symptoms and detailed somatosensory testing. Case presentation Herein, we report the case of a 53-year-old female patient presenting with impaired temperature sensation on the left half of her body, from the neck down, following a small infarction of the right midlateral medulla. The chronological changes in the patient's introspection regarding impairment of thermoception and the results of detailed somatosensory tests, including thermal sense, are shown in this report. Conclusions Thorough somatosensory tests, personal descriptions of symptoms, and electrophysiological quantification of similar cases are needed to improve our understanding of the neurological separation of the sensations of pain and temperature at the medullary level.https://doi.org/10.1186/s12883-022-02796-xLateral medullary infarctionLateral spinothalamic tractThermal sensePain |
spellingShingle | Keisuke Hanada Kayoko Yokoi Natsuko Kashida Ryota Shimomura Daiki Murata Kazumi Hirayama Midlateral medullary infarction presenting with isolated thermoanaesthesia: a case report BMC Neurology Lateral medullary infarction Lateral spinothalamic tract Thermal sense Pain |
title | Midlateral medullary infarction presenting with isolated thermoanaesthesia: a case report |
title_full | Midlateral medullary infarction presenting with isolated thermoanaesthesia: a case report |
title_fullStr | Midlateral medullary infarction presenting with isolated thermoanaesthesia: a case report |
title_full_unstemmed | Midlateral medullary infarction presenting with isolated thermoanaesthesia: a case report |
title_short | Midlateral medullary infarction presenting with isolated thermoanaesthesia: a case report |
title_sort | midlateral medullary infarction presenting with isolated thermoanaesthesia a case report |
topic | Lateral medullary infarction Lateral spinothalamic tract Thermal sense Pain |
url | https://doi.org/10.1186/s12883-022-02796-x |
work_keys_str_mv | AT keisukehanada midlateralmedullaryinfarctionpresentingwithisolatedthermoanaesthesiaacasereport AT kayokoyokoi midlateralmedullaryinfarctionpresentingwithisolatedthermoanaesthesiaacasereport AT natsukokashida midlateralmedullaryinfarctionpresentingwithisolatedthermoanaesthesiaacasereport AT ryotashimomura midlateralmedullaryinfarctionpresentingwithisolatedthermoanaesthesiaacasereport AT daikimurata midlateralmedullaryinfarctionpresentingwithisolatedthermoanaesthesiaacasereport AT kazumihirayama midlateralmedullaryinfarctionpresentingwithisolatedthermoanaesthesiaacasereport |