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[Medial medullary infarct].
Wien Klin Wochenschr. 1998 Sep 18; 110(17):616-20.WK

Abstract

Medial medullary infarct is a rare type of brain stem infarction first described in 1908. It was only since the broad use of MRI that an accurate clinical topographical correlation could be documented in survivors. We observed two patients; one of them had an anteromedial unilateral infarction in the upper medulla, and the clinical picture was characterized by contralateral hemiparesis, facial weakness, dysarthria and palatal weakness. The outcome was good. The second patient however showed a severe tetraparesis with only minor brain stem signs, secondary to bilateral anteromedian infarction with a large craniocaudal extension. He survived with severe residual impairment. The most likely cause of infarction was arteriosclerosis of the A. vertebralis and A. spinalis anterior, respectively. These two different cases suggest that the medial medullary syndrome is heterogeneous comprising small unilateral infarctions with mild clinical signs as well as large bilateral infarctions with a poor outcome.

Authors+Show Affiliations

Neurologische Abteilung, NO Landesnervenklinik Klosterneuburg-Gugging, Osterreich.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

ger

PubMed ID

9816632

Citation

Seiser, A, et al. "[Medial Medullary Infarct]." Wiener Klinische Wochenschrift, vol. 110, no. 17, 1998, pp. 616-20.
Seiser A, Ruf M, Schöllhammer-Pirich A, et al. [Medial medullary infarct]. Wien Klin Wochenschr. 1998;110(17):616-20.
Seiser, A., Ruf, M., Schöllhammer-Pirich, A., & Brainin, M. (1998). [Medial medullary infarct]. Wiener Klinische Wochenschrift, 110(17), 616-20.
Seiser A, et al. [Medial Medullary Infarct]. Wien Klin Wochenschr. 1998 Sep 18;110(17):616-20. PubMed PMID: 9816632.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Medial medullary infarct]. AU - Seiser,A, AU - Ruf,M, AU - Schöllhammer-Pirich,A, AU - Brainin,M, PY - 1998/11/17/pubmed PY - 1998/11/17/medline PY - 1998/11/17/entrez SP - 616 EP - 20 JF - Wiener klinische Wochenschrift JO - Wien Klin Wochenschr VL - 110 IS - 17 N2 - Medial medullary infarct is a rare type of brain stem infarction first described in 1908. It was only since the broad use of MRI that an accurate clinical topographical correlation could be documented in survivors. We observed two patients; one of them had an anteromedial unilateral infarction in the upper medulla, and the clinical picture was characterized by contralateral hemiparesis, facial weakness, dysarthria and palatal weakness. The outcome was good. The second patient however showed a severe tetraparesis with only minor brain stem signs, secondary to bilateral anteromedian infarction with a large craniocaudal extension. He survived with severe residual impairment. The most likely cause of infarction was arteriosclerosis of the A. vertebralis and A. spinalis anterior, respectively. These two different cases suggest that the medial medullary syndrome is heterogeneous comprising small unilateral infarctions with mild clinical signs as well as large bilateral infarctions with a poor outcome. SN - 0043-5325 UR - https://www.unboundmedicine.com/medline/citation/9816632/[Medial_medullary_infarct]_ DB - PRIME DP - Unbound Medicine ER -