{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:43:39Z","timestamp":1786725819416,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Bilateral medial medullary infarction (MMI) is a rare subtype of stroke. The typical heart-shaped appearance on magnetic resonance imaging is pathognomonic for the bilateral medial medullary syndrome. Vertebrobasilar dolichoectasia (VBD) is a condition characterized by tortuous dilatation and marked enlargement of the basilar and vertebral arteries, and it may cause posterior circulation infarction. We present a case of a 55-year-old female patient with complaints of speech disorder, regression in consciousness, and difficulty breathing. Diffusion-weighted imaging examination was normal on arrival. In the cranial imaging after 24 h, acute infarction was observed in the bilateral medial medullary area. Time-of-flight magnetic resonance angiography revealed VBD. In this report, a case of bilateral MMI with a unique radiological appearance accompanied by VBD, which is rarely reported in the literature, is presented.<\/jats:p>","DOI":"10.4103\/ant.33-1_111_0017","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T17:00:17Z","timestamp":1721235617000},"page":"13-16","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Bilateral Medial Medullary Infarct with Unique Radiological Presentation"],"prefix":"10.4103","volume":"33","author":[{"given":"G\u00fcng\u00f6r","family":"\u00c7akmakci","sequence":"first","affiliation":[{"name":"Department of Neurology, K\u00fctahya Health Sciences University, K\u00fctahya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"\u00c7etiner","sequence":"additional","affiliation":[{"name":"Department of Neurology, K\u00fctahya Health Sciences University, K\u00fctahya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niyazi","family":"Uysal","sequence":"additional","affiliation":[{"name":"Department of Neurology, K\u00fctahya Health Sciences University, K\u00fctahya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma Akkoyun","family":"Arikan","sequence":"additional","affiliation":[{"name":"Department of Neurology, K\u00fctahya Health Sciences University, K\u00fctahya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibel Canbaz","family":"Kabay","sequence":"additional","affiliation":[{"name":"Department of Neurology, K\u00fctahya Health Sciences University, K\u00fctahya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3,30]]},"reference":[{"key":"R1-20260508","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1016\/j.jstrokecerebrovasdis.2012.03.010","article-title":"Bilateral medial medullary 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