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Bilateral infarction of the medullary pyramids in humans

Department of Neurology, Hennepin County Medical Center, University of Minnesota Medical School, Minneapolis, MN.(Dr. Jagiella)
Departments of Laboratory Medicine and Pathology, and Neurology, University of Minnesota Medical School, Minneapolis, MN. (Dr. Sung)

We report the detailed clinical and pathologic account of a patient with an ischemic infarction restricted to both medullary pyramids. Although prevailing neurophysiologic teachings would predict a flaccid paralysis, the patient's pure motor quadriplegia was eventually associated with spasticity.

Address correspondence and reprint requests to Dr. Sung, Department of Laboratory Medicine and Pathology, University of Minnesota Medical School, Minneapolis, MN 55455.

Received April 6, 1988. Accepted for publication in final form July 21, 1988.

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