Lateral medullary infarct
Acute globus, regurgitation and dysphonia. Laryngoscope demonstrated a right vocal cord palsy.
Initial CT scan of the brain demonstrated no abnormality.
MRI brain: 2 - 3 days after presentation
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A wedge of restricted diffusion is demonstrated involving the lateral aspect of the right side of the medulla, which matches with a region of high T2 signal. ADC has relatively normalized in keeping 2 - 3 days post infarct.