Presentation
Right-sided limb weakness and loss of touch. Left-sided tongue palsy.
Patient Data
Age: 65 years
Gender: Male
From the case:
Medial medullary syndrome
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Area of diffusion restriction involving the medial aspect of medulla oblongata. The remainder brain is unremarkable.
From the case:
Medial medullary syndrome
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Area of diffusion restriction involving the medial aspect of medulla oblongata.
Case Discussion
This case illustrates features of the spectrum of medial medullary syndrome characterized 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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