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Open Access Highly Accessed Case report

Upper limbs dysmetria caused by cervical spinal cord injury: a case report

Hsun-Chang Lin, Chun-Hung Chen, Gim-Thean Khor and Poyin Huang*

Author Affiliations

Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan, Republic of China

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BMC Neurology 2009, 9:50  doi:10.1186/1471-2377-9-50

Published: 24 September 2009

Abstract

Background

Upper limbs dysmetria caused by spinal cord injury is very rare. We will discuss the associated mechanism in our articles.

Case presentation

A 51-year-old male had sudden onset of weakness, dysmetria over bilateral upper limbs and ataxia after he fell accidentally. Brain magnetic resonance imaging (MRI) revealed no specific findings. C-spine MRI revealed C1 myelopathy and C4-6 spinal cord compression by bulged disc. The symptoms subsided after surgical intervention.

Conclusion

Sudden onset of upper limbs dysmetria is a sign of dysfunction in cerebellum and its associated pathway. However, lesion in spinal cord can also cause cerebellar signs such as dysmetria.