A Case of Primary Medullary Hemorrhage.
- Author:
Heui Cheun PARK
1
;
Wang Kie MIN
;
Yang Ha HWANG
;
Jong Yeol KIM
;
Sung Pa PARK
;
Chung Kyu SUH
Author Information
1. Department of Neurology, School of Medicine, Kyungpook National University, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Medullary hemorrhage;
Magnetic resonance imaging;
Cryptic vascular malformation
- MeSH:
Alcoholism;
Angiography, Digital Subtraction;
Hematoma;
Hemorrhage*;
Humans;
Magnetic Resonance Imaging;
Medulla Oblongata;
Middle Aged;
Prognosis;
Vascular Malformations;
Vertigo
- From:Journal of the Korean Neurological Association
2000;18(5):629-631
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of isolated primary medullary hemorrhage with a review of the literature to analyze the clinical presentation and radiological character. A 46-year-old man with chronic alcoholism developed tegmental medullary syndrome secondary to spontaneous hemorrhages in the medulla oblongata. Magnetic resonance imaging study was carried out on the third day after the second event, which showed two distinct isolated hematomas in the medulla oblongata. Digital subtraction angiography was normal. The cause of hemorrhage was presumed to be cryptic vascular malformation. The primary medullary hemorrhage usually presents with a characteristic syndrome of sudden onset vertigo with neurological signs that correspond to various combination of medial and lateral medullary involvement. Usually, the prognosis is good only with conservative treatment.
