{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T15:42:27Z","timestamp":1785858147384,"version":"3.56.0"},"reference-count":13,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cerebrovasc Dis"],"published-print":{"date-parts":[[2010]]},"abstract":"<i>Objective:<\/i> To elucidate the frequency and clinical profiles of patients with medial medullary infarction (MMI) identified by diffusion-weighted MRI (DWI). <i>Methods:<\/i> We assessed the frequency, radiological findings, etiology and clinical features of MMI detected by DWI from our single-center registry of acute ischemic patients. <i>Results:<\/i> Thirty patients (1.5% of 2,014 with ischemic stroke) had MMI, including isolated unilateral MMI in 26 patients. Lesions were located by DWI in the rostral medulla of 25 patients (83%). Culprit infarcts that were undetectable by DWI in 6 (38%) of 16 patients who were assessed within 24 h after onset were later confirmed as MMI. The major etiological mechanism was small artery occlusion (SAO; 19 patients) and the median initial National Institutes of Health Stroke Scale score was 4 (interquartile range: 3\u20134.75). The most frequent symptom was contralateral hemiparesis (27 patients). None of the patients fulfilled the classical Dejerine Triad. Twenty-two patients (73%) had a modified Rankin Scale score of \u22642 at 3 months. A patient developed transient ischemic attack within 3 months; none developed recurrent stroke. <i>Conclusions:<\/i> Rostral medullary infarction with mild neurological deficits resulting from SAO is relatively frequent. Because emergency DWI within 24 h could not detect MMI in one third of the patients, this type of infarction could be misdiagnosed as capsular\/pontine lacunae or other neurological disorders.<\/jats:p>","DOI":"10.1159\/000319887","type":"journal-article","created":{"date-parts":[[2010,9,22]],"date-time":"2010-09-22T07:45:15Z","timestamp":1285141515000},"page":"519-524","source":"Crossref","is-referenced-by-count":35,"title":["Medial Medullary Infarction Identified by Diffusion-Weighted Magnetic Resonance Imaging"],"prefix":"10.1159","volume":"30","author":[{"given":"Yuji","family":"Shono","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoshi","family":"Koga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Toyoda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Matsuoka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiaki","family":"Yokota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyuki","family":"Uehara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruko","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Minematsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2010,9,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1161%2FSTROKEAHA.109.559864"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159%2F000007929"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002%2Fana.410430323"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007%2FPL00007852"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1212%2F01.wnl.0000180627.80595.10"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1212%2F01.wnl.0000174441.39903.d8"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1136%2Fjnnp.39.9.877"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002%2Fana.410410505"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159%2F000262314"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1159%2F000111220"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159%2F000106515"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.2169%2Finternalmedicine.42.871"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jns.2008.11.025"}],"container-title":["Cerebrovascular Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/319887","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/319887","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:45:52Z","timestamp":1745437552000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000319887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":13,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2010,10,1]]},"published-print":{"date-parts":[[2010,10,12]]}},"URL":"https:\/\/doi.org\/10.1159\/000319887","archive":["Portico"],"relation":{},"ISSN":["1015-9770","1421-9786"],"issn-type":[{"value":"1015-9770","type":"print"},{"value":"1421-9786","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010]]}}}