Ischemic stroke of the pyramidal decussation causing quadriplegia and anarthria Academic Article uri icon

Overview

MeSH Major

  • Brain Ischemia
  • Cranial Irradiation
  • Dysarthria
  • Pyramidal Tracts
  • Quadriplegia
  • Radiation Injuries
  • Stroke

abstract

  • A 52-year-old man with a history of hypertension and previously irradiated head and neck cancer presented with quadriplegia and anarthria sparing the face and sensory functions. Brain magnetic resonance imaging (MRI) demonstrated acute infarction of the pyramidal decussation. We describe the clinical and radiological characteristics of infarction at the pyramidal decussation and review the arterial supply to this region in the lower brainstem. Although rare, infarction of the pyramidal decussation should be considered in the differential diagnosis when patients present with atraumatic pure motor quadriplegia.

publication date

  • October 2012

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.jstrokecerebrovasdis.2011.02.001

PubMed ID

  • 21411338

Additional Document Info

start page

  • 620.e1

end page

  • 2

volume

  • 21

number

  • 7