Lateral medullary infarct

Case contributed by A.Prof Frank Gaillard

Presentation

Acute globus, regurgitation and dysphonia. Laryngoscope demonstrated a right vocal cord palsy.

Patient Data

Age: 90
Gender: Male

Initial CT scan of the brain demonstrated no abnormality.

MRI

MRI brain: 2 - 3 days after presentation

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.

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Case information

rID: 15337
Case created: 10th Oct 2011
Last edited: 2nd Jul 2017
Inclusion in quiz mode: Included

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