Medial medullary syndrome

Case contributed by Dr Bruno Di Muzio

Presentation

Right-sided limb weakness and loss of touch. Left-sided tongue palsy.

Patient Data

Age: 65-year-old
Gender: Male
Modality: MRI

Area of diffusion restriction involving the medial aspect of medulla oblongata. The remainder brain is unremarkable. 

Modality: Annotated image

Area of diffusion restriction involving the medial aspect of medulla oblongata.

Case Discussion

This case illustrates features of the spectrum of medial medullary syndrome characterised by infarct involving the medial aspect of the medulla oblongata in the brain stem causing contralateral hemiplegia/hemiparesis as well as a hemisensory loss with ipsilateral hypoglossal palsy (ipsilateral tongue weakness and atrophy) from the involvement of CN XII nucleus. 

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Case Information

rID: 44402
Case created: 20th Apr 2016
Last edited: 26th Mar 2017
Inclusion in quiz mode: Included

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