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双侧延髓内侧梗死:两例报告并回顾独特的MRI征象

Bilateral medial medullary infarction: A report of two cases with a review of unique MRI signs.

作者信息

Abebe Abel Tsehay, Tantawi Mohamed, Palivela Nihanth, Aein Azin, Heymann John, Jadiry Huda Al

机构信息

Department of Radiology, The University of Texas Medical Branch, Galveston, TX, USA.

John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, TX, USA.

出版信息

Radiol Case Rep. 2025 Aug 19;20(11):5617-5622. doi: 10.1016/j.radcr.2025.07.058. eCollection 2025 Nov.

Abstract

Bilateral medial medullary infarction (BMMI) is a rare type of brainstem ischemic stroke involving the anteromedial medulla oblongata bilaterally. Diagnosis is often delayed due to its rarity, non-specific clinical presentation, and non-revealing imaging in the early phases. MRI plays a crucial role in early detection by revealing characteristic patterns. We report two cases of BMMI, highlighting classic and additional magnetic resonance imaging (MRI) findings and their anatomic correlations.

摘要

双侧内侧延髓梗死(BMMI)是一种罕见的脑干缺血性卒中类型,双侧累及延髓前内侧。由于其罕见性、非特异性临床表现以及早期影像学表现不明显,诊断往往延迟。MRI通过显示特征性模式在早期检测中起关键作用。我们报告两例BMMI病例,突出经典及额外的磁共振成像(MRI)表现及其解剖学关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4746/12395974/b3a4088398d5/gr1.jpg

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