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

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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Unusual neurological manifestations of bilateral medial medullary infarction: A case report ; volume:17 ; number:1 ; year:2022 ; pages:119-123 ; extent:5
Open medicine ; 17, Heft 1 (2022), 119-123 (gesamt 5)

Creator
Zheng, Ruizhi
Zhang, Ting
Zeng, Xianzhu
Yu, Miao
Jin, Zhao
Zhang, Jing

DOI
10.1515/med-2021-0382
URN
urn:nbn:de:101:1-2022071515435635630641
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:40 AM CEST

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Associated

  • Zheng, Ruizhi
  • Zhang, Ting
  • Zeng, Xianzhu
  • Yu, Miao
  • Jin, Zhao
  • Zhang, Jing

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