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. 2020 Apr 30;14(4):1–7. doi: 10.3941/jrcr.v14i4.3905

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.