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Isolated Ipsilateral Hemiparesis From a Pyramidal Decussation Infarct: A Rare Case Confirmed by Magnetic Resonance
Ali H Thahab1, Sumeet Bhardwaj2, Maher Asfour1
1College of Medicine: Neurology, Kansas City University of Medicine and Biosciences, Kansas City, USA.
Cureus
|December 23, 2025
Summary
A rare stroke affecting the cervicomedullary junction caused isolated left-sided weakness and numbness. This case highlights the importance of understanding neurologic anatomy below the pyramidal decussation for diagnosing stroke.
Area of Science:
- Neurology
- Neuroanatomy
Background:
- Stroke is a leading cause of disability.
- Cervicomedullary junction strokes are rare.
- Understanding neuroanatomy is crucial for diagnosis.
Keywords:
brainstem infarctioncervicomedullary junctioncorticospinal tractipsilateral hemiparesismedulla oblongatamedullary infarctionpyramidal decussationsmall vessel ischemic diseaseMore Related Videos
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