Medial Medullary Syndrome
- PMID: 32809425
- Bookshelf ID: NBK560590
Medial Medullary Syndrome
Excerpt
The medulla oblongata or simply medulla is the part of the brainstem. The medulla is continuous with the pons rostrally at the pontomedullary junction and the spinal cord caudally at the C1 vertebrae. Medial medullary structures are the pyramid, medial lemniscus, hypoglossal nucleus, and medial longitudinal fasciculus. Medial medullary structures are supplied by the paramedian branches of the anterior spinal artery, which is a branch of the vertebral artery. The vertebral artery is the subclavian artery branch. The medial medullary syndrome is also known as Dejerine syndrome, which is caused by an infraction of the medial medulla. In 1915, Joseph Jules Dejerine first described this syndrome.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Deterrence and Patient Education
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Sawada H, Seriu N, Udaka F, Kameyama M. Magnetic resonance imaging of medial medullary infarction. Stroke. 1990 Jun;21(6):963-6. - PubMed
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- Fukuoka T, Takeda H, Dembo T, Nagoya H, Kato Y, Deguchi I, Maruyama H, Horiuchi Y, Uchino A, Yamazaki S, Tanahashi N. Clinical review of 37 patients with medullary infarction. J Stroke Cerebrovasc Dis. 2012 Oct;21(7):594-9. - PubMed
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- Sweeney BJ, Rossor MN. Medial medullary syndrome associated with patent foramen ovale in a weightlifter. Eur Neurol. 1996;36(6):391. - PubMed
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- Katan M, Luft A. Global Burden of Stroke. Semin Neurol. 2018 Apr;38(2):208-211. - PubMed
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