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Neurology. 2013 Dec 3;81(23):2054-5. doi: 10.1212/01.wnl.0000436939.70528.03.

Medial medullary infarction with central sparing.

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From Washington University School of Medicine, St Louis, MO.


A 35-year-old woman had cardiac arrest requiring treatment with a left ventricular assist device. After regaining consciousness, examination revealed upbeating nystagmus, otherwise normal bulbar function, left arm dysmetria, and numbness periorally and in areas she described as "a turtleneck of numbness with a T-shirt of sensation" (figure 1).

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