Abstract
A 43-year-old man with medial medullary infarction associated with interesting angiographic findings is reported. He suffered from contralateral hemiplegia and motor paresis of the tongue. But disturbance of deep sensation was absent. MRI (T2 weighted image) revealed a lesion in the left medial portion of medulla oblongata. Cerebral angiography revealed that the left vertebral artery was obstructed in the cervical region. The contrast medium passed through the anterior spinal artery and reached the left vertebral artery and posterior inferior cerebellar artery. The right vertebral artery was obstructed distal to the origin of the posterior inferior cerebellar artery. We suspected that the left medial medullary infarction occurred in this case because ischemia was most likely to occur at the basilar artery or at the vertebral artery.
