Document Detail


Bilateral posterior medullary and cervical stroke: a case report.
MedLine Citation:
PMID:  16998734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spinal strokes are often localised in the anterior spinal artery territory, whereas an involvement of the posterior spinal arteries (PSA) is uncommon, and usually unilateral. Bilateral PSA stroke is exceptional. A 70-year-old woman, after a mild head trauma, presented with cervical pain, left hypoaesthesia and sensitive ataxia, which then extended to the right hemibody, including face. A Doppler ultrasound showed an only systolic flow signal in the left vertebral artery (VA). MR showed a bilateral infarction extending from the posterior medulla oblongata to C4 and a left hypoplasic VA with lack of visualisation of the V3 segment. This case was peculiar, implying a bilateral stroke in the PSA territory, possibly related to a left VA dissection, and in the presence of a dominant PSA, originating from the hypoplasic VA and of hyposupply of posterior radiculomedullary arteries and anastomoses.
Authors:
J Mandrioli; A Zini; F Cavalleri; P Nichelli; P Panzetti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology     Volume:  27     ISSN:  1590-1874     ISO Abbreviation:  Neurol. Sci.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-25     Completed Date:  2006-11-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100959175     Medline TA:  Neurol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  281-3     Citation Subset:  IM    
Affiliation:
Neurological Clinic, Department of Neuroscience, University of Modena and Reggio Emilia, Nuovo Ospedale Civile S. Agostino-Estense, Via Giardini 1355, Baggiovara, I-41100, Modena (MO), Italy. jessicamandrioli@libero.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Humans
Imaging, Three-Dimensional / methods
Magnetic Resonance Imaging / methods
Medulla Oblongata / pathology*
Stroke / pathology*,  radiography
Ultrasonography, Doppler / methods
Vertebral Artery / pathology*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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