DOI: 10.36347/sjmcr.2022.v10i04.026

Pages: 375-377

Bilateral medial medullary syndrome is a rare type of stroke, which results due to occlusion of the anterior spinal artery or vertebral artery or its branches. Clinical diagnosis without neuroimaging is very difficult; the characteristic brain MRI finding of “heart appearance” at DWI has been described in bilateral medial medullary infarct. We report the case of 53-year-old man with acute onset quadriparesis. MRI scan of brain, diffusion weighted (DW) imaging revealed heart shaped hyper-intensity areas in the bilateral medial medulla.