Intramedullary hemorrhage caused by arteriovenous malformation: A case of mixed lateral and medial medullary syndrome

Kazuya Nokura, Hideka Nakasawa, Kaoru Kamimoto, Chikao Kono, Michitaka Matsubara, Hidehiro Kabasawa, Kosei Ojika, Hiroshi Koga, Hiroko Yamamoto

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

A 48-year-old man with no known risk factor for cerebrovascular disease, other than cigarette smoking, experienced the sudden onset of a mixed lateral and medial medullary syndrome. Computed tomography scan failed to show any definite abnormality. Magnetic resonance imaging scans revealed hemorrhage restricted to the left dorsolateral medulla. Angiography showed abnormal arteries originating from the left vertebral artery with small niduses located on the surface of the medulla and contralateral cerebellum. Small brain-stem hemorrhages are a contraindication to thrombolytic or anticoagulant therapy, and therefore must be recognized in the acute stage.

Original languageEnglish
Pages (from-to)30-33
Number of pages4
JournalJournal of Stroke and Cerebrovascular Diseases
Volume10
Issue number1
DOIs
Publication statusPublished - 2001

All Science Journal Classification (ASJC) codes

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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