The "Heart Appearance Sign" in Bilateral Medial Medullary Infarction with Unusual Presentation as Incomplete Syndrome.

This article discusses a rare case of bilateral medial medullary infarction, a type of stroke that affects less than 0.5% of all cerebral infarcts. The usual presentation of this condition includes contralateral hemiplegia, loss of vibration sensation, and ipsilateral hypoglossal paralysis. However, the patient in this case had an incomplete syndrome, presenting with giddiness, numbness in the right lower limb, and weakness in the right upper and lower limbs. The MRI revealed bilateral ventral medulla infarction with the characteristic "heart appearance sign." The patient was treated with medication and physiotherapy, and her symptoms improved without respiratory failure. [Extracted from the article]