Hostname: page-component-54dcc4c588-mz6gc Total loading time: 0 Render date: 2025-10-13T20:36:21.174Z Has data issue: false hasContentIssue false
  • English
  • Français

A Progressive Painful Bilateral Medial Medullary Stroke Syndrome Accompanied by an Evolving and Ominous Air-Pod Sign

Published online by Cambridge University Press:  26 August 2025

Ryan T. Muir Open the ORCID record for Ryan T. Muir [Opens in a new window] ,
Madawi Ismail ,
Philippe Couillard ,
Julie Anne Kromm ,
Kathleen Jacobs ,
Muneer Eesa  and
Peter K. Stys
Ryan T. Muir*
Affiliation:
Calgary Stroke Program, University of Calgary, Calgary, AB, Canada Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada Department of Clinical Neuroscience, University of Calgary, Calgary, AB, Canada Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada Sunnybrook Research Institute, Sunnybrook Health Sciences Centre University of Toronto, Toronto, ON, Canada
Madawi Ismail
Affiliation:
Calgary Stroke Program, University of Calgary, Calgary, AB, Canada Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada Department of Clinical Neuroscience, University of Calgary, Calgary, AB, Canada
Philippe Couillard
Affiliation:
Calgary Stroke Program, University of Calgary, Calgary, AB, Canada Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada Department of Clinical Neuroscience, University of Calgary, Calgary, AB, Canada Department of Critical Care, University of Calgary, Calgary, AB, Canada
Julie Anne Kromm
Affiliation:
Calgary Stroke Program, University of Calgary, Calgary, AB, Canada Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada Department of Clinical Neuroscience, University of Calgary, Calgary, AB, Canada Department of Critical Care, University of Calgary, Calgary, AB, Canada
Kathleen Jacobs
Affiliation:
Department of Radiology, University of Calgary, Calgary, AB, Canada
Muneer Eesa
Affiliation:
Calgary Stroke Program, University of Calgary, Calgary, AB, Canada Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada Department of Clinical Neuroscience, University of Calgary, Calgary, AB, Canada Department of Radiology, University of Calgary, Calgary, AB, Canada
Peter K. Stys
Affiliation:
Calgary Stroke Program, University of Calgary, Calgary, AB, Canada Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada Department of Clinical Neuroscience, University of Calgary, Calgary, AB, Canada
*
Corresponding author: Ryan T. Muir; Email: ryan.muir@mail.utoronto.ca
Get access Rights & Permissions [Opens in a new window]

Abstract

An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'

Keywords

Magnetic resonance imagingmedial medullary syndromestroke imagingstroke

Information

Type
Letter to the Editor: New Observation
Information
Canadian Journal of Neurological Sciences , First View , pp. 1 - 3
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Canadian Neurological Sciences Federation

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Agarwal, S, Raz, E, Yaghi, S. Bilateral medial medullary infarction: the airpod sign. Stroke. 2023;54(4):e157–e158. doi: 10.1161/STROKEAHA.122.042054.Google ScholarPubMed
Wang, Y, Meng, X, Wang, A, et al. Ticagrelor versus clopidogrel in CYP2C19 loss-of-function carriers with stroke or TIA. N Engl J Med. 2021;385(27):2520–2530. doi: 10.1056/NEJMoa2111749.CrossRefGoogle ScholarPubMed
Pergami, PPT, Imbesi, F, Ceroni, M, Simonetti, F. Dejerines syndrome or spillers syndrome. Neurol Sci. 2001;22(4):333–336. doi: 10.1007/s10072-001-8178-3.CrossRefGoogle ScholarPubMed
Kim, JS, Han, YS. Medial medullary infarction: clinical, imaging, and outcome study in 86 consecutive patients. Stroke. 2009;40(10):3221–3225. doi: 10.1161/STROKEAHA.109.559864.CrossRefGoogle ScholarPubMed
Bassetti, CBJ, Mattle, H, Bernasconi, A. Medial medullary stroke: report of seven patients and review of the literature. Neurology. 1997;48(4):882–890. doi: 10.1212/wnl.48.4.882.CrossRefGoogle Scholar
Pongmoragot, J, Parthasarathy, S, Selchen, D, Saposnik, G. Bilateral medial medullary infarction: a systematic review. J Stroke Cerebrovasc Dis. 2013;22(6):775–780. doi: 10.1016/j.jstrokecerebrovasdis.2012.03.010.CrossRefGoogle ScholarPubMed
Kameda, W, Kawanami, T, Kurita, K, et al. Lateral and medial medullary infarction: a comparative analysis of 214 patients. Stroke. 2004;35(3):694–699. doi: 10.1161/01.STR.0000117570.41153.35.CrossRefGoogle ScholarPubMed
Er, U, Fraser, K, Lanzino, G. The anterior spinal artery origin: a microanatomical study. Spinal Cord. 2008;46(1):45–49. doi: 10.1038/sj.sc.3102060.CrossRefGoogle ScholarPubMed
Tatu, L, Moulin, T, Vuillie, F, Bogousslavsky, J. Chapter 29: Arterial territories of the human brain. In: LR, Caplan, J, van Gijn, eds. Cambridge University Press; 2012:329–343.Google Scholar