Duarte-Celada Walter, Montalvan Victor, Bueso Tulio, Davila-Siliezar Pamela
Department of Neurology, Texas Tech University Health Science Center, 3601 4th Street, Mailstop 8321, Lubbock, TX 79430, USA.
Department of Neurology, University of Pittsburg Medical Center, 811 Kaufmann Medical Building 3471 Fifth Avenue, Pittsburg, PA 15213, USA.
Radiol Case Rep. 2024 Jan 13;19(4):1329-1332. doi: 10.1016/j.radcr.2024.01.008. eCollection 2024 Apr.
Bilateral medial medullary stroke is a very rare condition. It is usually associated with severe motor deficits, dysarthria, sensory symptoms, nystagmus, and respiratory disturbances. The most common etiology is atherosclerotic disease of the vertebral and anterior spinal artery or its branches. We present the case and brain imaging of a 48-year-old man with a bilateral medial medullary stroke and its classic "Heart Sign" in the magnetic resonance imaging. This case highlights the anatomy of the rostral medulla, clinical presentation, etiology, and characteristic radiologic findings of this uncommon type of stroke.
双侧延髓内侧梗死是一种非常罕见的疾病。它通常伴有严重的运动功能缺损、构音障碍、感觉症状、眼球震颤和呼吸障碍。最常见的病因是椎动脉和脊髓前动脉及其分支的动脉粥样硬化疾病。我们报告了一例48岁男性双侧延髓内侧梗死的病例及其在磁共振成像中的典型“心脏征”。该病例突出了延髓上部的解剖结构、临床表现、病因以及这种罕见类型中风的特征性影像学表现。
