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- W2043261455 abstract "A 42-year-old man presented with acute onset quadriplegia and respiratory difficulty. On admission his blood pressure was 250/140 mmHg and pulse rate was 100/min. He was conscious, and had bilateral hypoglossal nerve paralysis, flaccid quadriplegia with absent deep tendon reflexes in all four limbs and bilateral extensor plantar response. His facial movements were not affected. There was loss of proprioception and tactile sensation with preserved pain, and temperature perception in all limbs and trunk sparing the face. Diffusion-weighted magnetic resonance imagning carried out within 12 h showed heart-shaped hyperintensity in the bilateral ventral medulla (Fig. 1). Bilateral medial medullary infarction is a very rare stroke subtype. The blood supply of the medulla is divided into the anterior-medial, anterior-lateral, lateral and posterior territories. These areas are supplied by the vertebral and anterior spinal artery. The “heart appearance” sign is considered to appear when the infarct occurs involving both the anterior-medial and anterior-lateral territories.1, 2" @default.
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- W2043261455 date "2015-01-12" @default.
- W2043261455 modified "2023-10-16" @default.
- W2043261455 title "Bilateral medial medullary infarction with the characteristic “heart appearance” sign on magnetic resonance imaging" @default.
- W2043261455 cites W2039488477 @default.
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- W2043261455 doi "https://doi.org/10.1111/ncn3.160" @default.
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