The hemimedullary syndrome: case report and review of the literature

J Neurol. 1990 Jun;237(3):208-12. doi: 10.1007/BF00314596.


Hemi-infarction of the medulla causes the clinical constellation of symptoms and signs of both the lateral and medial medullary syndromes and nearly always results from occlusion of an intracranial vertebral artery. In the case reported here, with a clinical diagnosis of hemimedullary syndrome, the expected infarction was imaged by magnetic resonance. A review of the literature confirms that the hemimedullary syndrome, in which both medial and lateral syndromes occur simultaneously, is extremely rare, since it yielded only two previous cases with adequate anatomical confirmation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Angiography, Digital Subtraction
  • Brain Stem / physiopathology
  • Cerebral Infarction / diagnosis*
  • Cerebral Infarction / diagnostic imaging
  • Cerebral Infarction / physiopathology
  • Evoked Potentials, Auditory
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Medulla Oblongata*
  • Vertebral Artery / diagnostic imaging