Affiliation:
1. Department of Neurology, Kütahya Health Sciences University, Kütahya, Turkey
Abstract
Bilateral medial medullary infarction (MMI) is a rare subtype of stroke. The typical heart-shaped appearance on magnetic resonance imaging is pathognomonic for the bilateral medial medullary syndrome. Vertebrobasilar dolichoectasia (VBD) is a condition characterized by tortuous dilatation and marked enlargement of the basilar and vertebral arteries, and it may cause posterior circulation infarction. We present a case of a 55-year-old female patient with complaints of speech disorder, regression in consciousness, and difficulty breathing. Diffusion-weighted imaging examination was normal on arrival. In the cranial imaging after 24 h, acute infarction was observed in the bilateral medial medullary area. Time-of-flight magnetic resonance angiography revealed VBD. In this report, a case of bilateral MMI with a unique radiological appearance accompanied by VBD, which is rarely reported in the literature, is presented.