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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2017 July-August;176(7-8):426-9

DOI: 10.23736/S0393-3660.16.03390-8

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Symptomatic vascular compression of the medulla oblongata by the tortuous and elongated vertebral arteries

Krunoslav BULJAN 1 , Marina HLAVATI 2, Dennis CZERSKY HAFNER 1, Ivo PUŠELJIĆ 3, Tatjana ROTIM 3, Jelena ŠARIĆ SUČIĆ 1

1 Department of Neurology, Faculty of Medicine, Osijek University Hospital, University of Osijek, Osijek, Croatia; 2 General Hospital Našice, Našice, Croatia; 3 Department of Radiology, Faculty of Medicine, Osijek University Hospital, University of Osijek, Osijek, Croatia


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Symptomatic vascular compression of the medulla oblongata causing brainstem dysfunction is rare. We herein describe a case of compression of the ventral and ventrolateral portion of the medulla oblongata and nervus hypoglossus by the elongated and tortuous vertebral arteries. The neurological symptoms and deficits which were the result of compression of the medulla oblongata were transient, while the signs of hypoglossal nerve palsy were persistent. The differential diagnosis of brainstem disfunction should take into consideration the possibility of vascular compression, especially in cases absent of typical ischemic vascular syndromes and the radiographic features of the lesions of the medulla oblongata.


KEY WORDS: Vertebral artery - Medulla oblongata - Hypoglossal nerve diseases

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