Journal of International Medical Research (Sep 2024)

Medullary infarction with central facial paralysis as the only symptom: a case report

  • Ruiqi Tian,
  • Yingying Zhou,
  • Wei Tang,
  • Zhen Zhu

DOI
https://doi.org/10.1177/03000605241276468
Journal volume & issue
Vol. 52

Abstract

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The anatomical structure of the medulla oblongata is complex, its nerve fibers are dense, and its blood vessels are complex. Clinical manifestations of ischemic damage to the medulla oblongata are therefore relatively diverse, and include vertigo, dysphagia, and dysarthria. Although facial paralysis may also occur, medullary infarction with facial paralysis as the first and only symptom is rare. Herein, we report a case of medullary infarction with ipsilateral central facial paralysis as the only symptom.