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Peripheral axonal motor degeneration after spinal cord infarct.

Journal of Neurology, Neurosurgery and Psychiatry

| July 01, 2001 | MICHEL, P; MIKLOSSY, J; KUNTZER, T | COPYRIGHT 2003 British Medical Association. (Hide copyright information)Copyright

A 62 year old male hypertensive patient with known diabetes mellitus and diffuse arteriopathy was admitted for cardiac failure. On hospital day 2, septic shock due to an unidentified micro-organism, encephalopathy, and flaccid paraplegia developed. On day 4, dry gangrene of all toes and progressive coma appeared. He died on hospital day 22 of multiorgan failure.

Nerve conduction studies carried out on day 9 showed progressive loss of compound muscle action potential (CMAP) amplitude of the right and left abductor hallucis muscle with sequential stimulation of the tibial nerve (fig 1 (A): right side, superimposed mode. (B), left side, raster mode, with stimulation of …

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