Medial medullary infarction (MMI) is an uncommon entity (0.5–1.5% of all strokes),
and bilateral MMI is extremely rare [
1
,
2
]. Although quadriparesis, loss of deep sensation and hypoglossal palsy have been described
as the classical picture for bilateral MMI, the clinical presentation is variable
and non-specific, usually delaying diagnosis [
[2]
]. Moreover, initial diffusion weighted imaging (DWI) is often negative [
[3]
]. Bilateral MMI can be misdiagnosed as Guillain Barré Syndrome (GBS), since patients
present with sudden onset of quadriparesis, sensory disturbances, bulbar dysfunction
and progression to respiratory failure [
2
,
4
]. We present a case of DWI-negative bilateral MMI, initially thought to be GBS.Keywords
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Article info
Publication history
Published online: April 09, 2015
Accepted:
March 30,
2015
Received in revised form:
March 22,
2015
Received:
February 20,
2015
Identification
Copyright
© 2015 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
