Background and Purpose—No large-scale study has ever compared the clinical and radiological features of lateral medullary infarction (LMI) and medial medullary infarction (MMI). The aim of this study was to investigate them through the use of cooperatively collected cases. Methods—Medical information on all patients from 1996 to 2000 with medullary infarction (MI) proven by brain MR images at 3...

designs. Typically the overall conception or "Gestalt" will be most severely disrupted and they may omit features on the left side as part of a neglect syndrome (Figure 2). Neglect and visuospatial dysfunction may persist long after the acute stroke, leading to a propensity for getting lost and hazardous driving as patients fail to attend to left sided stimuli. Table 3 Clinical Features of Larg...

Lateral medullary stroke is typically associated with increased likelihood of occurrence of dysphagia and exhibits the most severe and persistent form. Worldwide little research exists on dysphagia in brainstem stroke. An estimated 15% of all patients admitted to stroke rehabilitation units experience a brainstem stroke out of which about 47% suffer from dysphagia. In India, a study showed that...

Parathyroid carcinoma is the rarest endocrine cancer with aggressive behaviour. It may be presented as a feature of severe hypercalcemia, musculoskeletal involvement and neck mass. There should high clinical suspicion if there marked very parathyroid hormone levels, palpable mass, recurrent laryngeal nerve palsy due to invasion bone renal symptoms. Thyroid pathology has been seen in 15-70% pati...