A Case of Primary Medullary Hemorrhage

J Korean Neurol Assoc > Volume 18(5); 2000 > Article

Journal of the Korean Neurological Association 2000;18(5): 629-631.

원발성 연수출혈 1예

박희천, ·민왕기 ·황양하 ·김종열 ·박성파 ·서정규

경북대학교 의과대학 신경과학교실

A Case of Primary Medullary Hemorrhage

Heui Cheun Park, M.D., Wang Kie Min, M.D., Yang Ha Hwang, M.D., Jong Yeol Kim, M.D., Sung Pa Park, M.D., Chung Kyu Suh, M.D.

Department of Neurology, School of Medicine, Kyungpook National University, Taegu, Korea

Abstract

We report a case of isolated primary medullary hemorrhage with a review of the literature to analyze the clinical pres-entation and radiological character. A 46-year-old man with chronic alcoholism developed tegmental medullary syn-drome secondary to spontaneous hemorrhages in the medulla oblongata. Magnetic resonance imaging study was carried out on the third day after the second event, which showed two distinct isolated hematomas in the medulla oblongata. Digital subtraction angiography was normal. The cause of hemorrhage was presumed to be cryptic vascular malforma-tion. The primary medullary hemorrhage usually presents with a characteristic syndrome of sudden onset vertigo with neurological signs that correspond to various combination of medial and lateral medullary involvement. Usually, the prognosis is good only with conservative treatment. J Korean Neurol Assoc 18(5):629~631, 2000 Key Words : Medullary hemorrhage, Magnetic resonance imaging, Cryptic vascular malformation