Acute tetraparesis secondary to bilateral precentral gyral cerebral ischemia: a case report
Christian Geis1, Ignaz Gunreben, Christoph Kleinschnitz
1Department of Neurology, University of Würzburg, Josef-Schneider-Str, 11, Wuerzburg 97080, Germany. Gunreben_I@klinik.uni-wuerzburg.de.
Introduction:
Sudden tetraparesis represents a neurological emergency and is most often caused by traumatic spinal cord injury, spinal epidural bleeding or brainstem ischemia and less frequently by medial disc herniation or spinal ischemia.
Case Presentation:
Here we report the rare case of an 82-year-old Caucasian man who developed severe tetraparesis four days after radical cystoprostatectomy. An emergency diagnostic study for spinal cord affection was normal. Brain magnetic resonance imaging revealed acute bilateral ischemic strokes in the precentral gyri as the underlying cause.
Conclusions:
This case report underlines the need to also consider unusual causes of tetraparesis in an emergency situation apart from spinal cord or brain stem injury in order not to leave severe symptomatology unclear and possibly miss therapeutic options.
Related Concept Videos
Transient Ischemic Attack l: Introduction
Ischemic Stroke ll: Pathophysiology
Secondary Spinal Cord Injury llI: Pathophysiology
Ischemic Stroke l: Introduction


