Bilateral medial medullary infarction presenting as Guillain–Barré-like syndrome

Abstract

Bilateral medial medullary infarction (MMI) is a very rare occurence characterized by acute-onset or progressive quadriplegia, ingual paresis and impaired deep sensation [1]. The disease is requently misdiagnosed at acute stage since the presenting sympoms are similar with other neurological diseases. We describe wo cases having weakness in the limbs with involvement of bular nerve-innervated muscles and respiratory muscles. They were nitially diagnosed as having Guillain–Barre syndrome (GBS). Subequent clinical and imaging features supported the diagnosis of ilateral MMI. The clinical features and differential diagnosis of ilateral MMI will be discussed in this report.