Wakita M, Matsuoka H, Hamada R, Kasuya J, Osame M
Division of Neurology, National Hospital Kyusha Cardiovascular Center, 8-1 Shiroyamacho, Kagoshima 892-0853, Japan.
Neurol Sci. 2003 Dec;24(5):357-60. doi: 10.1007/s10072-003-0189-9.
A 54-year-old man developed left hemiparesis and tactile and deep sensory disturbance following onset of rightside cervical pain. These symptoms resulted from an isolated infarct in the right medial area of the upper medulla oblongata and intracranial vertebral artery (VA) dissection. Atherosclerotic disease of the VA is the most common cause of medial medullary infarction. In past reports of isolated medial medullary infarction, only a few cases involved VA dissection.
一名54岁男性在右侧颈部疼痛发作后出现左侧偏瘫、触觉和深部感觉障碍。这些症状是由右侧延髓上部内侧区域孤立性梗死和颅内椎动脉（VA）夹层所致。椎动脉粥样硬化疾病是延髓内侧梗死最常见的原因。在既往孤立性延髓内侧梗死的报道中，仅有少数病例涉及椎动脉夹层。
