Table 1.
Summary table for Bilateral Medial Medullary Infarction
Etiology | The etiological classifications of infarctions are large-artery atherosclerosis (LA), small-vessel disease (SV), arterial dissection (DI), cardiac embolism (CE), and stroke of un- determined etiology. |
Incidence | Medial medullary infarction (MMI) is a rare stroke subtype, accounting for only 0.5—1.5% of all strokes [1.2], and bilateral MMI is even rarer [3]. |
Risk factors | Atrial fibrillation, hypertension, smoking habits, diabetes mellitus, ischemic heart disease, and dyslipidemia |
Treatment | The same as cerebral infarction treatment, and to perform endotracheal intubation when respiratory distress occurs. |
Symptoms | They include quadriplegia, dysarthria, hypoglossal palsy, respiratory failure, and so on. |
prognosis | The clinical outcome of bilateral MMI is usually poor [6]. |
Imaging findings | Brain magnetic resonance imaging (MRI) shows a hyperintense “heart appearance” signal in the bilateral anteromedial medullae. |