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Cervico-shoulder dystonia following lateral medullary infarction: a case report and review of the literature

Overview of attention for article published in Journal of Medical Case Reports, February 2018
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Title
Cervico-shoulder dystonia following lateral medullary infarction: a case report and review of the literature
Published in
Journal of Medical Case Reports, February 2018
DOI 10.1186/s13256-018-1561-y
Pubmed ID
Authors

Takashi Ogawa, Yuri Shojima, Takuma Kuroki, Hiroto Eguchi, Nobutaka Hattori, Hideto Miwa

Abstract

Secondary cervical dystonia is induced by organic brain lesions involving the basal ganglia, thalamus, cerebellum, and brain stem. It is extremely rare to see cervical dystonia induced by a medullary lesion. We report a case of an 86-year-old Japanese woman who developed cervical dystonia following lateral medullary infarction. She developed sudden-onset left upper and lower extremity weakness, right-side numbness, and dysarthria. Brain magnetic resonance imaging revealed an acute ischemic lesion involving the left lateral and dorsal medullae. A few days after her stroke, she complained of a taut sensation in her left neck and body, and cervico-shoulder dystonia toward the contralateral side subsequently appeared. Within a few weeks, it disappeared spontaneously, but her hemiplegia remained residual. To date, to the best of our knowledge, there has been only one reported case of cervical dystonia associated with a single medullary lesion. It is interesting to note the similarities in the clinical characteristics of the previously reported case and our patient: the involvement of the dorsal and caudal parts of the medullary and associated ipsilateral hemiplegia. The present case may support the speculation that the lateral and caudal regions of the medulla may be the anatomical sites responsible for inducing cervical dystonia.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Other 5 17%
Student > Bachelor 4 14%
Student > Ph. D. Student 4 14%
Student > Postgraduate 3 10%
Researcher 3 10%
Other 7 24%
Unknown 3 10%
Readers by discipline Count As %
Medicine and Dentistry 9 31%
Nursing and Health Professions 6 21%
Neuroscience 3 10%
Agricultural and Biological Sciences 1 3%
Arts and Humanities 1 3%
Other 2 7%
Unknown 7 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 February 2018.
All research outputs
#18,587,406
of 23,023,224 outputs
Outputs from Journal of Medical Case Reports
#2,280
of 3,947 outputs
Outputs of similar age
#333,338
of 444,262 outputs
Outputs of similar age from Journal of Medical Case Reports
#48
of 86 outputs
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So far Altmetric has tracked 3,947 research outputs from this source. They receive a mean Attention Score of 4.0. This one is in the 11th percentile – i.e., 11% of its peers scored the same or lower than it.
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We're also able to compare this research output to 86 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.