Skip to main content
SpringerLink
Log in

Dysphagia in a Patient with Bilateral Medial Medullary Infarcts

  • Case Report
  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

Bilateral medial medullary infarct is a rare stroke syndrome and only a handful of cases have been described. Dysphagia as a manifestation of medullary infarcts is well recognized but often associated with lateral medullary infarct. Bilateral medial medullary infarcts are commonly associated with severe dysphagia in addition to a number of other signs and symptoms. We describe a patient who had bilateral medial medullary infarct with severe dysphagia in addition to quadriplegia and respiratory difficulty, and analyze infarct topography with respect to dysphagia, risk factors, vascular territories involved, and prognosis in view of previously reported cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Kumral E, Afsar N, Kirbas D, Balkir K, Ozdemirkiran T. Spectrum of medial medullary infarction: clinical and magnetic resonance imaging findings. J Neurol. 2002;249:85–93. doi:10.1007/PL00007852.

    Article  PubMed  Google Scholar 

  2. Bassetti C, Bogousslavsky J, Mattle H, Bernasconi A. Medial medullary stroke: report of seven patients and review of the literature. Neurology. 1997;48:882–90.

    PubMed  CAS  Google Scholar 

  3. Kim JS, Kim GK, Chung CS. Medial medullary syndrome: report of eighteen new patients and a review of the literature. Stroke. 1995;26:1548–52.

    PubMed  CAS  Google Scholar 

  4. Kameda W, Kawanami T, Kurita K, Daimon M, Kayama T, Hosoya T, et al. Lateral and medial medullary infarction: a comparative analysis of 214 patients. Stroke. 2004;35:694–9. doi:10.1161/01.STR.0000117570.41153.35.

    Article  PubMed  CAS  Google Scholar 

  5. Kwon M, Lee JH, Kim JS. Dysphagia in unilateral medullary infarction: lateral vs medial lesions. Neurology. 2005;65:714–8. doi:10.1212/01.wnl.0000174441.39903.d8.

    Article  PubMed  Google Scholar 

  6. Kim H, Chung CS, Lee KH, Robbin J. Aspiration subsequent to a pure medullary infarction. Lesion sites, clinical variables and outcome. Arch Neurol. 2000;57:478–83. doi:10.1001/archneur.57.4.478.

    Article  PubMed  CAS  Google Scholar 

  7. Toyoda K, Imamura T, Saku Y, Oita J, Ibayashi S, Minematsu K, et al. Medial medullary infarction: analyses of eleven patients. Neurology. 1996;47:1141–7.

    PubMed  CAS  Google Scholar 

  8. Kameyama M, Fushimi H, Udaka F. Diabetes mellitus and cerebral vascular disease. Diabetes Res Clin Pract. 1994;24:S205–8. doi:10.1016/0168-8227(94)90250-X.

    Article  PubMed  Google Scholar 

  9. Wada K, Gotoh T, Hashimoto Y, Kimura K, Uchino M. A case of bilateral infarction of medial pontomedullary junction. Rinsho Shinkeigaku. 1996;36:1186–9.

    PubMed  CAS  Google Scholar 

  10. Roh JK, Lee YS. Bilateral medial medullary infarction manifested as sensory ataxia: a case report and review of the literature. J Korean Med Sci. 1996;11:193–6.

    PubMed  CAS  Google Scholar 

  11. Arai M, Shichi D. Medial medullary infarction: report of three patients presented with central vestibular dysfunction without limb and lingual weakness. Rinsho Shinkeigaku. 1999;39:1059–63.

    PubMed  CAS  Google Scholar 

  12. Fukuda M, Aiba T, Takahashi S. Bilateral medial medullary infarction due to bilateral vertebral artery dissection. Clin Neurol Neurosurg. 2004;106:132–5.

    Article  PubMed  Google Scholar 

  13. Kataoka S, Terasawa H, Tohji H. Sequential bilateral medial medullary infarction due to vertebral artery dissection. Cerebrovasc Dis. 2007;24:309–12.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareily Road, Lucknow, 2268017, India

    Vimal K. Paliwal, Jayanti Kalita & Usha K. Misra

Authors
  1. Vimal K. Paliwal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jayanti Kalita
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Usha K. Misra
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vimal K. Paliwal.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Paliwal, V.K., Kalita, J. & Misra, U.K. Dysphagia in a Patient with Bilateral Medial Medullary Infarcts. Dysphagia 24, 349–353 (2009). https://doi.org/10.1007/s00455-008-9194-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00455-008-9194-8

Keywords

Search

Navigation