The Hemimedullary Syndrome: Case Report and Review of the Literature
Authors
Affiliations
Hemi-infarction of the medulla causes the clinical constellation of symptoms and signs of both the lateral and medial medullary syndromes and nearly always results from occlusion of an intracranial vertebral artery. In the case reported here, with a clinical diagnosis of hemimedullary syndrome, the expected infarction was imaged by magnetic resonance. A review of the literature confirms that the hemimedullary syndrome, in which both medial and lateral syndromes occur simultaneously, is extremely rare, since it yielded only two previous cases with adequate anatomical confirmation.
Bissell J, Edelbach B, Gospodarev V, De Los Reyes K, Pillai P J Med Case Rep. 2024; 18(1):485.
PMID: 39375744 PMC: 11460100. DOI: 10.1186/s13256-024-04713-x.
Teaching NeuroImage: Reinhold Hemimedullary Syndrome.
Kesav P, Hussain S, John S, Sajjad Z, Jacob A Neurology. 2022; 100(10):490-491.
PMID: 36460470 PMC: 9990859. DOI: 10.1212/WNL.0000000000201686.
Krasnianski M, Muller T, Stock K, Zierz S J Neurol. 2006; 253(11):1442-6.
PMID: 16775654 DOI: 10.1007/s00415-006-0231-3.
The medullary vascular syndromes revisited.
Gan R, Noronha A J Neurol. 1995; 242(4):195-202.
PMID: 7798117 DOI: 10.1007/BF00919591.