Analysis of clinical characteristics of 13 patients with bilateral medial medullary infarction / 中国神经精神疾病杂志
Chinese Journal of Nervous and Mental Diseases
;
(12): 144-149, 2019.
Article
in Chinese
| WPRIM
| ID: wpr-753908
ABSTRACT
Objective To investigate the clinical characteristics of bilateral medial medullary infarction (BMMI). Methods The clinical data, cranial magnetic resonance imaging (MRI) and prognosis at 3 months follow-up of 13 patients with BMMI were analyzed, retrospectively. Results The common symptoms and signs of BMMI were quadriplegia in 13 cases), dizzy in 10 cases, dysarthria in 8 cases, hypoglossal nerve palsy in 8 cases)and dyspnea in 3 severe cases. The disease had an acute onset with rapid progress and reached peak between day 3 and 6. There were ten cases with moderate to severe disability at 3 months follow-up. The risk factors were hypertension, hyperlipidemia and diabetes. MRI diffusion weighted imaging showed hyperintense signals in the bilateral medial medulla with classical "heart-"shape (6 cases) and "Y-" shape (6 cases). Magnetic resonance angiography showed unilateral vertebral artery stenosis or occlusion in most patients. Conclusion BMMI is a rare cerebrovascular disease with a poor outcome. MRI diffusion weighted imaging is of great value in the early diagnosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Prognostic study
/
Risk factors
/
Screening study
Language:
Chinese
Journal:
Chinese Journal of Nervous and Mental Diseases
Year:
2019
Type:
Article
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