{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:03:34Z","timestamp":1761746614219,"version":"build-2065373602"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Medial Pontomedullary Junction (MPMJ) infarction is an uncommon cerebrovascular event with distinctive clinical presentations that often mimic benign conditions, such as Bell\u2019s palsy, complicating early diagnosis. This case report describes a 43-year-old female presenting with acute facial droop, dysarthria, dysphagia, and sensory deficits suggestive of Bell\u2019s palsy. Despite an unremarkable initial CT scan, advanced imaging with MRI revealed a left MPMJ infarction, highlighting the critical role of diffusion-weighted imaging (DWI) in detecting brainstem lesions. The clinical features of lower motor neuron facial palsy, contralateral sensory deficits, and dysphagia distinguish MPMJ infarction from peripheral facial nerve disorders. Risk factors such as poorly controlled hypertension and diabetes likely contributed to arterial compromise in this patient. This report highlights the need for detailed neurological assessments and advanced imaging to accurately diagnose and manage atypical brainstem strokes, reducing severe morbidity risks.<\/jats:p>","DOI":"10.1093\/omcr\/omaf201","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:45:33Z","timestamp":1756381533000},"source":"Crossref","is-referenced-by-count":0,"title":["Lower motor neuron facial palsy unmasking a rare brainstem stroke: a case report of medial Pontomedullary junction infarction"],"prefix":"10.1093","volume":"2025","author":[{"given":"Aws Murad","family":"Frhood","sequence":"first","affiliation":[{"name":"Al Hussien Teaching Hospital, Thi-Qar ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed Abdulhussain","family":"Shahatta","sequence":"additional","affiliation":[{"name":"Department College of Medicine, Thi-Qar University , Thi-Qar ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6259-1045","authenticated-orcid":false,"given":"Sajjad Ghanim","family":"Al-Badri","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Warith Al-Anbiyaa , Karbala ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahman Khaldoon","family":"Hamid","sequence":"additional","affiliation":[{"name":"Alexandria University College of Medicine , Alexandria ,","place":["Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6426-3642","authenticated-orcid":false,"given":"Muntadher Yousif Hasan","family":"Al Gehadi","sequence":"additional","affiliation":[{"name":"University of Baghdad, College of Medicine , Baghdad ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabeel","family":"Al-Fatlawi","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Warith Al-Anbiyaa , Karbala ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riyam mudheher nabbat","family":"AL-Ajrash","sequence":"additional","affiliation":[{"name":"AL-Yarmook Teaching Hospital , Baghdad ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Saad","family":"Al-Shammari","sequence":"additional","affiliation":[{"name":"University of Baghdad, College of Medicine , Baghdad ,","place":["Iraq"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaryab","family":"Bacha","sequence":"additional","affiliation":[{"name":"Khyber Medical College , Peshawar ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"2025102907303242900_ref1","doi-asserted-by":"publisher","first-page":"380","DOI":"10.5811\/cpcem.2020.5.46965","article-title":"Medial Pontomedullary stroke mimicking severe Bell's palsy: a case report","volume":"4","author":"Boodaie","year":"2020","journal-title":"Clin Pract Cases Emerg Med"},{"key":"2025102907303242900_ref2","doi-asserted-by":"publisher","first-page":"omy121","DOI":"10.1093\/omcr\/omy121","article-title":"Medial pontomedullary junctional infarction presenting vertigo, ipsilateral facial paresis, contralateral thermal hypoalgesia and dysphagia without lateral gaze palsy, curtain sign and hoarseness: a case presentation of a novel brain stem stroke syndrome with sensory disturbance-based dysphagia and review of the literature","volume":"2019","author":"Yoneoka","year":"2019","journal-title":"Oxf Med Case Rep"},{"key":"2025102907303242900_ref3","doi-asserted-by":"publisher","first-page":"1323","DOI":"10.1056\/NEJMcp041120","article-title":"Clinical practice. 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