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Anatomic and MRI bases for medullary infarctions with patients’ presentation
dc.creator | Vlašković, Tatjana | |
dc.creator | Brkić Georgievski, Biljana | |
dc.creator | Stević, Zorica | |
dc.creator | Kostić, Dejan | |
dc.creator | Stanisavljević, Nataša | |
dc.creator | Marinković, Ivan | |
dc.creator | Vojvodić, Aleksandra | |
dc.creator | Nikolić, Valentina | |
dc.creator | Puškaš, Laslo | |
dc.creator | Blagojević, Miloš | |
dc.creator | Marinković, Slobodan | |
dc.date.accessioned | 2023-03-31T10:35:47Z | |
dc.date.available | 2023-03-31T10:35:47Z | |
dc.date.issued | 2022 | |
dc.identifier.issn | 1052-3057 | |
dc.identifier.uri | https://vet-erinar.vet.bg.ac.rs/handle/123456789/2835 | |
dc.description.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. | sr |
dc.language.iso | en | sr |
dc.publisher | Elsevier | sr |
dc.rights | openAccess | sr |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.source | Journal of Stroke and Cerebrovascular Diseases | sr |
dc.subject | Medulla oblongata | sr |
dc.subject | Neuroanatomy | sr |
dc.subject | Arterial pathology | sr |
dc.subject | Vascular occlusion | sr |
dc.subject | Infarction | sr |
dc.subject | Neurologic signs | sr |
dc.title | Anatomic and MRI bases for medullary infarctions with patients’ presentation | sr |
dc.type | article | sr |
dc.rights.license | BY | sr |
dc.citation.volume | 31 | |
dc.citation.issue | 10 | |
dc.citation.spage | 106730 | |
dc.identifier.doi | 10.1016/j.jstrokecerebrovasdis.2022.106730 | |
dc.type.version | publishedVersion | sr |