Bilateral infarction of the medullary pyramids in humans.
We report the detailed clinical and pathologic account of a patient with an ischemic infarction restricted to both medullary pyramids. Although prevailing neurophysiologic teachings would predict a flaccid paralysis, the patient's pure motor quadriplegia was eventually associated with spasticity.
Jagiella
W M
WM
Department of Neurology, Hennepin County Medical Center, Minneapolis, MN.
Sung
J H
JH
D000368:Aged; D002544:Cerebral Infarction / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D008526:Medulla Oblongata / Q000473:pathology; D009123:Muscle Hypotonia; D009128:Muscle Spasticity; D010243:Paralysis / Q000209:etiology; D011712:Pyramidal Tracts / Q000473:pathology; D011782:Quadriplegia / Q000209:etiology; D013116:Spinal Cord / Q000473:pathology