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Evolving hemimedullary syndrome: A case report
Yanjun Zhang1, Aolei Lin2, Li Chen3
1Third Department of Neurology, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China.
Science Progress
|April 15, 2026
Summary
Hemimedullary syndrome (HS), a rare brainstem stroke, involves simultaneous medial and lateral medulla oblongata infarction. This case study explores successful treatment using intravenous thrombolysis and mechanical thrombectomy for evolving HS.
Area of Science:
- Neurology
- Vascular Neurology
- Neurocritical Care
Background:
- Hemimedullary syndrome (HS) is a rare neurological condition involving simultaneous infarction of the lateral and medial medulla oblongata.
- It presents with overlapping clinical features of Wallenberg and Dejerine syndromes.
- Limited data exists on clinical management and outcomes for HS.
Purpose of the Study:
- To report a case of evolving Hemimedullary syndrome.
- To describe the treatment approach using intravenous thrombolysis and mechanical thrombectomy.
- To contribute to the scarce literature on HS management and outcomes.
Main Methods:
- A patient diagnosed with evolving Hemimedullary syndrome was treated.
- Intravenous thrombolysis was administered.
- Mechanical thrombectomy was performed as part of the treatment strategy.
Main Results:
- The patient's evolving Hemimedullary syndrome was managed with advanced reperfusion therapies.
- Successful application of both intravenous thrombolysis and mechanical thrombectomy was achieved.
- The treatment approach aimed to address the complex infarction pattern of HS.
Conclusions:
- This case highlights the potential efficacy of intravenous thrombolysis and mechanical thrombectomy in managing Hemimedullary syndrome.
- Further research and case reports are needed to establish optimal treatment guidelines for HS.
- Prompt and aggressive intervention may be crucial for improving outcomes in rare medullary infarction syndromes.
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