[Central myelinolysis of medulla oblongata. Case report]

A case of multisymptomatic brain stem injury, possibly during subacute viral infection, in a 27-year-old man is reported. Two MR imaging at the time of regression of disease symptoms demonstrated in the medulla stabilized lesions of the type of central myelinolysis without damage to the corticospinal pathways. During four years of follow-up the neurological status was improving gradually, but involuntary movements of the mandible and face muscles make speech difficult.