Medial Medullary Syndrome: Clinical Study of 9 Cases
Journal of the Korean Neurological Association
;
: 504-509, 1995.
Artículo
en Coreano
| WPRIM
| ID: wpr-18452
ABSTRACT
BACKGROUND AND PURPOSE:
Medial medullary syndrome (MMS) is characterized clinically by a triad of ipsilateral hypoglossal nerve palsy, contralateral or ipsilateral hemiparesis sparing the face, and sensory disturbance of position and/or vibration. However, this syndrome is quite rare, and its clinical and radiological findings have not yet been clearly characterized.METHODS:
We reviewed 9 patients with AMS who were diagnosed based on their clinical and magnetic resonance imaging (MRI) findings.RESULTS:
There were 8 men and I woman with average age of 60 (41 to 75) years. The risk factors included hypertension in 8, DM in 6, cigarette smoking in 4, hypercholesterolemia in 4, gout in I and atrial fibrillation with LV dysfunction in 1. Their, clinical findings included contralateral hemiparesis in 9 and contralateral hermhypesthesia in & Only one patient presented with ipsilateral lingual paresis. The motor weakness was mild in 5 and moderate in 4. MRI results showed the lesions were located in the upper medulla in 7 and lower medulla in 2. Alteration of vertebral artery flow signal void in MRI was observed in 6 patients. Three patients had additional infarcts in the lateral medullary area. Prognosis of the motor weakness was good in 5 and stationary in 4.CONCLUSION:
Our patients generally presented with unilateral sensorimotor stroke. Ipsilateral h6miparesis and tongue weakness, unique signs of @, were found only rarely, and the absence of these findings often made it difficult to localize the lesion by clinical judgement only.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Paresia
/
Pronóstico
/
Fibrilación Atrial
/
Lengua
/
Arteria Vertebral
/
Vibración
/
Imagen por Resonancia Magnética
/
Fumar
/
Factores de Riesgo
/
Accidente Cerebrovascular
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Neurological Association
Año:
1995
Tipo del documento:
Artículo
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