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A Pseudobrainstem Stroke

Marc Fisher, MD; James B. McQuillen, MD

Arch Neurol. 1981;38(1):62-63.

Abstract
• Acute bilateral weakness of the extremities with weakness of the tongue classically signals a medullary lesion. A patient had these signs, but at autopsy, bilateral cortical border-zone infarcts and an entirely normal brainstem were found. This case points out the importance of considering bilateral cortical border-zone infarction in the presence of bilateral motor or sensory signs, especially when there is sparing of facial motor function.

Author Affiliations
From the Department of Neurology, University of Massachusetts Medical Center, Worcester (Dr Fisher); and the Departments of Pathology (Neuropathology) and Neurology, Medical Center Hospital of Vermont, Burlington (Dr McQuillen).

Footnotes
Accepted for publication May 25, 1980.

Reprint requests to Department of Neurology, University of Massachusetts Medical Center, 55 Lake Ave N, Worcester, MA 01605 (Dr Fisher).