Neurol Sci (2017) 38:1551–1553 DOI 10.1007/s10072-017-2983-9 LETTER TO THE EDITOR A case of alcoholic myelopathy associated with spinal cord atrophy 1 1 Zhao Jiang & Wenxiang Ye Received: 10 December 2016 /Accepted: 28 April 2017 /Published online: 4 May 2017 Springer-Verlag Italia 2017 Dear Editor, exposure or hereditary diseases in her family. General exam- Long-term heavy drinking can cause various neurological ination revealed good nutritional status and no signs of liver complications, including peripheral neuropathy, cerebellar de- diseases. On neurological examination, pain and touch sense generation, and Wernicke-Korsakoff syndrome . Alcoholic were decreased below the third thoracic vertebra, and lower limbs had decreased vibratory and positional perception. The myelopathy is rarely observed clinically because its symptoms are often concealed by hepatic myelopathy or portosystemic patient had level 5 strength in the upper limbs, with normal shunting myelopathy . Here, we report a case of severe muscular tension and tendon reflexes, and level 3 strength in alcoholic myelopathy with spinal cord atrophy detected by the lower limbs, with slight increased muscle tension and ac- magnetic resonance imaging (MRI) in a patient with normal tive tendon reflexes and bilateral Babinski reflex. Bilateral liver function. coordination examination using the finger-to-nose test was
Neurological Sciences – Springer Journals
Published: May 4, 2017
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