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Case Reports
. 2012 Jul 10:2012:bcr0720114472.
doi: 10.1136/bcr.07.2011.4472.

Acute onset quadriplegia

Chandrasekharan Rajasekharan  1 , Menon Deepak
Affiliations
Case Reports

Acute onset quadriplegia

Chandrasekharan Rajasekharan et al. BMJ Case Rep. .

Abstract

A 50-year-old man, with history of chronic alcohol intake was brought in a stuporous state to the emergency services having been found in that condition in his home the same day. Examination revealed the patient in an akinteic mute state with apparently normal cranial nerves, hypotonia and quadriplegia with bilateral extensor plantar reflex. CT scan and MRI of the brain revealed bilateral infarct parasagittally with normal Magnetic resonance venogram suggestive of bilateral anterior cerebral artery infarct. Follow-up magnetic resonance angiogram revealed an azygous anterior cerebral artery thus proving an infarct of unpaired anterior cerebral artery infarct as the cause for quadriplegia in this patient.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
MRI T2 weighted images showing hyper intensities in bilateral ACA territory (white arrows).
Figure 2
Figure 2
Magnetic resonance angiogram anterior view showing azygous ACA (unpaired anterior cerebral artery) and hypoplasticleft ACA with absent A1 segment (white arrows).
See this image and copyright information in PMC

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