Unusual neurological manifestations of bilateral medial medullary infarction: A case report-Reference-Cited by-同舟云学术

Unusual neurological manifestations of bilateral medial medullary infarction: A case report

Published:2022-01-01 Issue:1 Volume:17 Page:119-123
ISSN:2391-5463
Container-title:Open Medicine
language:en
Short-container-title:

Author:

Zheng Ruizhi¹²³⁴,Zhang Ting¹²³⁴,Zeng Xianzhu²³⁴¹,Yu Miao⁵,Jin Zhao²³⁴¹,Zhang Jing²³⁴¹

Affiliation:

1. Department of Neurology, The Third Central Clinical College of Tianjin Medical University , Tianjin 300170 , China

2. Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases , Tianjin , China

3. Artificial Cell Engineering Technology Research Center , Tianjin , China

4. Tianjin Institute of Hepatobiliary Disease , Tianjin , China

5. Tianjin Key Laboratory of Cerebrovascular and Neurodegenerative Diseases, Tianjin Dementia Institute, Department of Neurology, Tianjin Huanhu Hospital , Tianjin 300350 , China

Abstract

Abstract Bilateral medial medullary infarction (BMMI) is an extremely rare type of cerebrovascular accident often resulting in poor functional consequences. “Heart appearance” on diffusion-weighted imaging (DWI) of magnetic resonance imaging (MRI) is the unique presentation of BMMI. In this article, we present an acute ischemic stroke patient whose brain MRI showed the atypical “heart appearance” sign, manifested unusual bilateral central facial paralysis concurrently. For an early diagnosis of BMMI, it is essential to recognize the characteristic clinical and MRI findings of this rare type of stroke. Abnormal small dot or linear DWI signal at the midline of the brainstem should not be ignored at the early stage of stroke.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

Link

https://www.degruyter.com/document/doi/10.1515/med-2021-0382/pdf

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