Isolated Leg Monoparesis in a Patient with Atrial Fibrillation and Acute Ischemic Small Vessel Disease
Sook Vui Chong, Chin Hong Kua, Nan Nitra Than
Asian Journal of Case Reports in Medicine and Health · pp. 1–8 · Published 30 Jan 2020
Abstract
Monoparesis is most commonly caused by dysfunction of the lower motor neurons (LMNs) which innervates the affected limb. This includes lesion affecting the anterior nuclei, ventral nerve roots, lumbosacral plexus, or peripheral nerve. Nevertheless, it can also be due to upper motor neuron lesion, typically seen in lesions of the spinal cord. In general, many conditions that cause hemiplegia, paraplegia or quadriplegia may begin as monoplegia. We illustrate an elderly patient with hypertension, diabetes mellitus, dyslipidemia and atrial fibrillation, who presented with acute monoparesis and radiological evidence suggestive of recent infarct and small vessel disease.
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