Medial Medullary Infarction With Acute Bilateral Vertebral Artery Occlusions

2020 ◽  
pp. 194187442095716
Author(s):  
Ario Mirian ◽  
Amit Kumar Sharma
2019 ◽  
Vol 132 (8) ◽  
pp. 998-999
Author(s):  
Jie-Ping Lu ◽  
Yan Wu ◽  
Fang Xiao ◽  
Huai-Yu Li ◽  
Qi-Qiang Tang

2015 ◽  
Vol 55 (10) ◽  
pp. 748-752
Author(s):  
Takayoshi Akimoto ◽  
Makoto Hara ◽  
Mari Saito ◽  
Keiko Takahashi ◽  
Satoshi Kamei

2003 ◽  
Vol 24 (5) ◽  
pp. 357-360
Author(s):  
M. Wakita ◽  
H. Matsuoka ◽  
R. Hamada ◽  
J. Kasuya ◽  
M. Osame

2020 ◽  
Vol 10 ◽  
pp. 2
Author(s):  
Lee K. Rousslang ◽  
Trevor J. Reitz ◽  
Elizabeth Rooks ◽  
Jonathan R. Wood

Medial medullary syndrome (aka Dejerine syndrome) is a rare condition that develops following infarction of the medial medulla and is classically defined by the presence of Dejerine’s triad of contralateral weakness in upper and lower extremities, contralateral hemisensory loss of vibration and proprioception, and ipsilateral tongue weakness. It is typically caused by occlusion of the vertebral artery or one of its branches. We report the case of a 6-year-old girl who suffered a medial medullary infarction, and she was diagnosed with atypical Dejerine syndrome. Medial medullary infarct leading to atypical Dejerine syndrome has not been reported in this young of a patient in the literature to date.


2021 ◽  
pp. 190-199
Author(s):  
Samra Hamzic ◽  
Patrick Schramm ◽  
Hassan Khilan ◽  
Tibo Gerriets ◽  
Martin Juenemann

Medial medullary infarction (MMI) is a vascular occlusion in the medulla oblongata leading to certain constellations of neurological symptoms and seriously affecting the patient. Effective evidence-based treatment of severe dysphagia as sole symptom of MMI has not yet been reported. This case study aims to report successful effects of evidence-based therapy based on findings of dysphagia symptoms and pathophysiology of swallowing by flexible endoscopic evaluation of swallowing (FEES) in severe isolated dysphagia after MMI. FEES was performed to evaluate swallowing pathophysiology and dysphagia symptoms in a 57-year-old male with severe dysphagia after MMI. On the basis of FEES findings, simple and high-frequent evidence-based exercises for improvement of swallowing were implemented: thermal stimulation of faucial arches, Jaw Opening Exercise, and Jaw Opening Against Resistance. After 7 weeks of high-frequent evidence-based therapy and regular FEES evaluation the patient was set on full oral diet with no evidence of aspiration risk. In a first case report of isolated dysphagia in MMI our case illustrates that high-frequent evidence-based dysphagia therapy in combination with FEES as the method to evaluate and monitor swallowing pathophysiology can lead to successful and quick rehabilitation of severely affected dysphagic patients.


2021 ◽  
Vol 25 ◽  
pp. 101126
Author(s):  
Rikitaro Sako ◽  
Satoshi Yamamoto ◽  
Kotaro Takeda ◽  
Masahiro Wakatabi ◽  
Minoru Daira ◽  
...  

2019 ◽  
Vol 130 ◽  
pp. e627-e633 ◽  
Author(s):  
Yasushi Motoyama ◽  
Yoshiaki Takamura ◽  
Hun Soo Park ◽  
Toshiteru Miyasaka ◽  
Takeshi Wada ◽  
...  

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