Hemimedullary syndrome
Citation, DOI, disclosures and article data
Citation:
Di Muzio B, Gaillard F, St-Amant M, et al. Hemimedullary syndrome. Reference article, Radiopaedia.org (Accessed on 20 Mar 2025) https://doi.org/10.53347/rID-32272
rID:
32272
Article created:
Disclosures:
At the time the article was created Bruno Di Muzio had no recorded disclosures.
View Bruno Di Muzio's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
Revisions:
7 times, by
6 contributors -
see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Hemimedullary infarction syndrome
- Reinhold's syndrome
- Reinhold syndrome
Hemimedullary syndrome, also known as Reinhold syndrome, occurs as a result of the occlusion of the ipsilateral vertebral artery proximal to the posterior inferior cerebellar artery and its anterior spinal artery branches 1-3. This situation causes lateral medullary infarct and medial medullary infarct simultaneously 1-3.
Terminology
In many texts hemimedullary syndrome is incorrectly used as a synonym for Babinski-Nageotte syndrome, which is similar yet clinically distinct syndrome 3,5.
History and etymology
The syndrome was first described by Heinrich Reinhold, a German physician, in 1894 4.
References
- 1. Ortiz de Mendivil A, Alcalá-Galiano A, Ochoa M et-al. Brainstem stroke: anatomy, clinical and radiological findings. Semin. Ultrasound CT MR. 2013;34 (2): 131-41. doi:10.1053/j.sult.2013.01.004 - Pubmed citation
- 2. Krasnianski M, Müller T, Stock K, Zierz S. Between Wallenberg syndrome and hemimedullary lesion: Cestan-Chenais and Babinski-Nageotte syndromes in medullary infarctions. Journal of neurology. 253 (11): 1442-6. doi:10.1007/s00415-006-0231-3 - Pubmed
- 3. Ropper AH, Samuels MA, Klein JP. Adams and Victor's principles of neurology 10th ed. New York: McGraw-Hill Medical Pub. Division; 2014.
- 4. Reinhold H. Beiträge zur Pathologie der acuten Erweichungen des Pons und der Oblongata. Journal of Neurology. 1894 Jul 1;5(4):351-74.
- 5. Krasnianski M, Neudecker S, Schluter A, Zierz S. Babinski-Nageotte's syndrome and Hemimedullary (Reinhold's) syndrome are clinically and morphologically distinct conditions. (2003) Journal of neurology. 250 (8): 938-42. doi:10.1007/s00415-003-1118-9 - Pubmed
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- by vascular territory
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intracranial haemorrhage
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intra-axial haemorrhage
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intra-axial haemorrhage
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