Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Hospital Alcívar
Guayaquil-Ecuador
INFARTO BULBAR MEDIAL RELACIONADO CON DOLICOECTASIA DE LA
Resumen
Abstract.
A 50 year old man with hypertension presented with the sudden onset of
hemiplegia with lemniscal sensory impairment and contralateral desviation on
tongue protrusion. Magnetic resonance imagin showed a medial medullary
infarction associated with an abnormally dilated and elongated vertebral artery.
Magnetic resonance angiogram of neck vessel showed a hypoplastic vertebral
artery. Conclusion. Our patient presented a medial medullary infarction related
with intracranial and extracranial vertebral artery disease.
Caso clínico.
Figura 1. RM axial potenciada en T2 que muestra un infarto medial bulbar y una arteria
vertebral anormalmente dilatada y elongada en la vecindad del infarto.
Discusión
4. Duvernoy HM. The human brain stem and cerebellum. Wien: Springer
Verlag, 1995.
5. Hideyuki Sawada, MD, Naoyuki Seriu, MD, Fukashi Udaka, MD, and
Masakuni Kameyama, MD. Magnetic Resonance Imaging of Medial
Medullary Infarction. Stroke 1990; 21:963-66.
12. Chuang YM, Huang YM, Hu HH, et al. Toward a further elucidation of the
role of vertebral artery hypoplasia in acute ischaemic stroke. Eur Neurol
2006; 55:193-7.
13. Caplan LR, Wityk RJ, Glass TA, et al. New England Medical Center
Posterior Circulation Registry. Ann Neurol 2004; 56: 389-98.