J Korean Neurol Assoc.  2016 Nov;34(5):357-359. 10.17340/jkna.2016.4.12.

Sudden Unexpected Death after Lateral Medullary Infarction

Affiliations
  • 1Department of Neurology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea. hmkwon@snu.ac.kr

Abstract

The prognosis of lateral medullary infarction is mostly benign, but unexpected sudden death can occur even when the initial symptoms are benign. An 81-year-old man visited the emergency room with whirling-type dizziness and right-veering tendency. Brain magnatic resonance imaging (MRI) revealed a right lateral medullary infarction accompanied by a right cerebellar infarction. He died suddenly at 1 day after admission with only slight lesion progression on MRI. This case suggests that patients with a lateral medullary infarction should be carefully monitored during the acute period.

Keyword

Medulla oblongata; Stroke; Death; Sudden

MeSH Terms

Aged, 80 and over
Brain
Death, Sudden
Dizziness
Emergency Service, Hospital
Humans
Infarction*
Magnetic Resonance Imaging
Medulla Oblongata
Prognosis
Stroke
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