TY  - JOUR
AU  - Vlašković, Tatjana
AU  - Brkić Georgievski, Biljana
AU  - Stević, Zorica
AU  - Kostić, Dejan
AU  - Stanisavljević, Nataša
AU  - Marinković, Ivan
AU  - Vojvodić, Aleksandra
AU  - Nikolić, Valentina
AU  - Puškaš, Laslo
AU  - Blagojević, Miloš
AU  - Marinković, Slobodan
PY  - 2022
UR  - https://vet-erinar.vet.bg.ac.rs/handle/123456789/2835
AB  - There is a low incidence of the medullary infarctions and sparse data about
the vascular territories, as well as a correlation among the anatomic, magnetic resonance
imaging (MRI) and neurologic signs. Materials and methods: Arteries of the 10 right and
left sides of the brain stem were injected with India ink, fixed in formalin and microdissected. The enrolled 34 patients with medullary infarctions underwent a neurologic,
MRI and Doppler examination. Results: Four types of the infarctions were distinguished
according to the involved vascular territories. The isolated medial medullary infarctions
(MMIs) were present in 14.7%. The complete MMIs comprised one bilateral infarction
(2.9%), whilst the incomplete and partial MMIs were observed in 5.9% and 8.9%, respectively. The anterolateral infarctions (ALMIs) were very rare (2.9%). The complete and
incomplete lateral infarctions (LMIs), noted in 35.3%, comprised 11.8% and 23.6%,
respectively, that is, the anterior (5.9%), posterior (8.9%), deep (2.9%), and peripheral
(5.9%). Dorsal ischemic lesions (DMIs) occurred in 11.8%, either as a complete (2.9%), or
isolated lateral (5.9%) or medial infarctions (2.9%). The remaining ischemic regions
belonged to various combined infarctions of the MMI, ALMI, LMI and DMI (35.3%).
The infarctions most often affected the upper medulla (47.1%), middle (11.8%), or both
(29.5%). Several motor and sensory signs were manifested following infarctions, including vestibular, cerebellar, ocular, sympathetic, respiratory and auditory symptoms.
Conclusions: There was a good correlation among the vascular territories, MRI ischemia
features, and neurologic findings regarding the medullary infarctions.
PB  - Elsevier
T2  - Journal of Stroke and Cerebrovascular Diseases
T1  - Anatomic and MRI bases for medullary infarctions with patients’ presentation
VL  - 31
IS  - 10
SP  - 106730
DO  - 10.1016/j.jstrokecerebrovasdis.2022.106730
ER  - 

@article{
author = "Vlašković, Tatjana and Brkić Georgievski, Biljana and Stević, Zorica and Kostić, Dejan and Stanisavljević, Nataša and Marinković, Ivan and Vojvodić, Aleksandra and Nikolić, Valentina and Puškaš, Laslo and Blagojević, Miloš and Marinković, Slobodan",
year = "2022",
abstract = "There is a low incidence of the medullary infarctions and sparse data about
the vascular territories, as well as a correlation among the anatomic, magnetic resonance
imaging (MRI) and neurologic signs. Materials and methods: Arteries of the 10 right and
left sides of the brain stem were injected with India ink, fixed in formalin and microdissected. The enrolled 34 patients with medullary infarctions underwent a neurologic,
MRI and Doppler examination. Results: Four types of the infarctions were distinguished
according to the involved vascular territories. The isolated medial medullary infarctions
(MMIs) were present in 14.7%. The complete MMIs comprised one bilateral infarction
(2.9%), whilst the incomplete and partial MMIs were observed in 5.9% and 8.9%, respectively. The anterolateral infarctions (ALMIs) were very rare (2.9%). The complete and
incomplete lateral infarctions (LMIs), noted in 35.3%, comprised 11.8% and 23.6%,
respectively, that is, the anterior (5.9%), posterior (8.9%), deep (2.9%), and peripheral
(5.9%). Dorsal ischemic lesions (DMIs) occurred in 11.8%, either as a complete (2.9%), or
isolated lateral (5.9%) or medial infarctions (2.9%). The remaining ischemic regions
belonged to various combined infarctions of the MMI, ALMI, LMI and DMI (35.3%).
The infarctions most often affected the upper medulla (47.1%), middle (11.8%), or both
(29.5%). Several motor and sensory signs were manifested following infarctions, including vestibular, cerebellar, ocular, sympathetic, respiratory and auditory symptoms.
Conclusions: There was a good correlation among the vascular territories, MRI ischemia
features, and neurologic findings regarding the medullary infarctions.",
publisher = "Elsevier",
journal = "Journal of Stroke and Cerebrovascular Diseases",
title = "Anatomic and MRI bases for medullary infarctions with patients’ presentation",
volume = "31",
number = "10",
pages = "106730",
doi = "10.1016/j.jstrokecerebrovasdis.2022.106730"
}

Vlašković, T., Brkić Georgievski, B., Stević, Z., Kostić, D., Stanisavljević, N., Marinković, I., Vojvodić, A., Nikolić, V., Puškaš, L., Blagojević, M.,& Marinković, S.. (2022). Anatomic and MRI bases for medullary infarctions with patients’ presentation. in Journal of Stroke and Cerebrovascular Diseases
Elsevier., 31(10), 106730.
https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106730

Vlašković T, Brkić Georgievski B, Stević Z, Kostić D, Stanisavljević N, Marinković I, Vojvodić A, Nikolić V, Puškaš L, Blagojević M, Marinković S. Anatomic and MRI bases for medullary infarctions with patients’ presentation. in Journal of Stroke and Cerebrovascular Diseases. 2022;31(10):106730.
doi:10.1016/j.jstrokecerebrovasdis.2022.106730 .

Vlašković, Tatjana, Brkić Georgievski, Biljana, Stević, Zorica, Kostić, Dejan, Stanisavljević, Nataša, Marinković, Ivan, Vojvodić, Aleksandra, Nikolić, Valentina, Puškaš, Laslo, Blagojević, Miloš, Marinković, Slobodan, "Anatomic and MRI bases for medullary infarctions with patients’ presentation" in Journal of Stroke and Cerebrovascular Diseases, 31, no. 10 (2022):106730,
https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106730 . .