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Review Case Reports
Spinal Cord Infarction in an Adolescent with Protein S Deficiency: A Case Report and Literature Review.
- Takafumi Kubota, Tatsuhiko Hosaka, Daisuke Ando, Kensuke Ikeda, Rumiko Izumi, Tatsuro Misu, Hitoshi Warita, and Masashi Aoki.
- Department of Neurology, Tohoku University Hospital, Japan.
- Intern. Med. 2023 Aug 15; 62 (16): 241524182415-2418.
AbstractProtein S deficiency causes spinal cord infarction in rare cases. We herein report the first case of severe cervicothoracic cord infarction in an adolescent with protein S deficiency. A 16-year-old boy presented with neck pain, four-limb paralysis, and numbness. Magnetic resonance imaging revealed spinal artery infarction in the C4 to Th4 area. Protein S antigen and activity were decreased. The patient was diagnosed with protein S deficiency-associated cervicothoracic cord infarction, which was treated with anticoagulation. Protein S deficiency should be considered as a potential cause of spinal cord infarction in young healthy patients and should be appropriately treated with anticoagulation.
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