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[A case of central pain observed in medical medullary infarction].
Rinsho Shinkeigaku. 1996 Sep; 36(9):1079-82.RS

Abstract

A 45-year-old man had typical features of the left medial medullar syndrome which were left tongue paralysis, right hemiparesis, and right disturbance of touch and deep sensation sparing the face. He complained of hyperpathia, numbness and pain of the right body and limb sparing the face. MRI disclosed left upper medial medullary infarction, and cerebral angiography revealed occlusion of the left vertebral artery before the posterior inferior cerebellar artery. In general, the touch and deep sensation are carried through the medial lemniscus located in the medial medulla, therefore central pain is not considered to be induced by the medial medullary lesion. But tingling and numb sensation were sensory symptoms in our patient and the cases previously reported. If spinocervicothalamic tract related to touch and pain sensation has been well developed, it is suspected that central pain is induced by disturbance of the tract.

Authors+Show Affiliations

Hashimoto Y
Department of Neurosurgery (presently, Department of Neurosurgery, Ohita prefectural hospital).
Yoshioka S
No affiliation info available
Kimura K
No affiliation info available
Hirano T
No affiliation info available
Uchino M
No affiliation info available

MeSH

Cerebral InfarctionHumansMagnetic Resonance ImagingMaleMedulla OblongataMiddle AgedPainSensation DisordersSpinothalamic Tracts

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

8976132

Citation

Hashimoto, Y, et al. "[A Case of Central Pain Observed in Medical Medullary Infarction]." Rinsho Shinkeigaku = Clinical Neurology, vol. 36, no. 9, 1996, pp. 1079-82.
Hashimoto Y, Yoshioka S, Kimura K, et al. [A case of central pain observed in medical medullary infarction]. Rinsho Shinkeigaku. 1996;36(9):1079-82.
Hashimoto, Y., Yoshioka, S., Kimura, K., Hirano, T., & Uchino, M. (1996). [A case of central pain observed in medical medullary infarction]. Rinsho Shinkeigaku = Clinical Neurology, 36(9), 1079-82.
Hashimoto Y, et al. [A Case of Central Pain Observed in Medical Medullary Infarction]. Rinsho Shinkeigaku. 1996;36(9):1079-82. PubMed PMID: 8976132.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of central pain observed in medical medullary infarction]. AU - Hashimoto,Y, AU - Yoshioka,S, AU - Kimura,K, AU - Hirano,T, AU - Uchino,M, PY - 1996/9/1/pubmed PY - 1996/9/1/medline PY - 1996/9/1/entrez SP - 1079 EP - 82 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 36 IS - 9 N2 - A 45-year-old man had typical features of the left medial medullar syndrome which were left tongue paralysis, right hemiparesis, and right disturbance of touch and deep sensation sparing the face. He complained of hyperpathia, numbness and pain of the right body and limb sparing the face. MRI disclosed left upper medial medullary infarction, and cerebral angiography revealed occlusion of the left vertebral artery before the posterior inferior cerebellar artery. In general, the touch and deep sensation are carried through the medial lemniscus located in the medial medulla, therefore central pain is not considered to be induced by the medial medullary lesion. But tingling and numb sensation were sensory symptoms in our patient and the cases previously reported. If spinocervicothalamic tract related to touch and pain sensation has been well developed, it is suspected that central pain is induced by disturbance of the tract. SN - 0009-918X UR - https://www.unboundmedicine.com/medline/citation/8976132/[A_case_of_central_pain_observed_in_medical_medullary_infarction]_ DB - PRIME DP - Unbound Medicine ER -