Selected Publication:
Kleinert, G; Fazekas, F; Kleinert, R; Schmidt, R; Payer, F; Offenbacher, H; Lechner, H.
Bilateral medial medullary infarction: magnetic resonance imaging and correlative histopathologic findings.
Eur Neurol. 1993; 33(1):74-76
Doi: 10.1159/000116906
(- Case Report)
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- Leading authors Med Uni Graz
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Kleinert Gertrude
- Co-authors Med Uni Graz
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Fazekas Franz
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Kleinert Reinhold
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Payer Franz
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Schmidt Reinhold
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- Abstract:
- Bilateral medial medullary infarction is a rare event which clinically presents with flaccid tetraplegia sparing the face, bilateral disturbance of deep sensation, hypoglossal nerve palsy and respiratory failure. We here report a patient with such symptoms in whom magnetic resonance imaging enabled the detection of signal abnormalities in the lower brainstem as soon as 9 h after onset. Results of a control study 3 weeks later correlated well with the extent of infarction that was seen at autopsy. Early lesion detection in the lower medulla by magnetic resonance imaging and the unfavorable prognosis of patients with ischemic damage at that location may provide the rationale for aggressive therapeutic strategies in such a condition.
- Find related publications in this database (using NLM MeSH Indexing)
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Cerebral Infarction - diagnosis
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Dominance, Cerebral - physiology
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Humans - physiology
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Intracranial Embolism and Thrombosis - diagnosis
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Magnetic Resonance Imaging - diagnosis
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Medulla Oblongata - blood supply
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Middle Aged - blood supply
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Neurologic Examination - blood supply
- Find related publications in this database (Keywords)
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Bilateral Medial Medullary Infarction
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Brain-Stem Symptoms
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Magnetic Resonance Imaging
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Pathological Correlation