A case of cervical spondylotic myelopathy being triggered by heat stroke

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  • Matsumoto Hiroaki
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Hanayama Hiroaki
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Matsumoto Atsushi
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Tomogane Yusuke
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Minami Hiroaki
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Masuda Atsushi
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Yamaura Ikuya
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Yoshida Yasuhisa
    Department of Neurosurgery, Cerebrovascular Research Institute, Eisyokai Yoshida hospital
  • Hirata Yutaka
    Department of Neurology, Cerebrovascular Research Institute, Eisyokai Yoshida Hospital

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Other Title
  • 熱中症を契機に頚椎症性脊髄症が顕在化した１例
  • ネッチュウショウ オ ケイキ ニ ケイツイショウセイ セキズイショウ ガ ケンザイカ シタ 1レイ

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Abstract

<p>  We report a case of cervical spondylotic myelopathy being triggered by heat stroke. An 83‒year old man presented with transient acute onset of bilateral lower limb weakness after working in a hot environment. Because brain MRI showed no ischemic lesion, he was diagnosed as heat stroke and treated with intravenous fluids. However, ataxic gait continued. Serial brain MRI showed no lesion and cervical MRI showed cord compression due to hypertrophy of the yellow ligament at the C3/4 level. Hence, we diagnosed cervical spondylotic myelopathy. He underwent posterior decompression and his gait disturbance improved. In this case, heat stroke might be the trigger for cervical spondylotic myelopathy.</p>

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