Skip to main content
Log in

The “heart appearance” sign on MRI of Wernekink’s commissure syndrome caused by bilateral caudal paramedian midbrain infarction

  • Letter to the Editor
  • Published:
Neurological Sciences Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Maeda M, Shimono T, Tsukahara H, Maier SE, Kan T (2004) Acute bilateral medial medullary infarction: a unique “heart appearance” sign by diffusion-weighted imaging. Eur Neurol 51:236–237

    Article  PubMed  Google Scholar 

  2. Ishizawa K, Ninomiya M, Nakazato Y, Yamamoto T, Araki N (2015) The “heart appearance” sign in bilateral pontine infarction. J Stroke Cerebrovasc Dis 24:e21–e24

    Article  Google Scholar 

  3. Venkatesan P, Balakrishnan R, Ramadoss K, Iyer RS (2014) Heart appearance sign in pontine stroke: a result of bilateral infarction due to small vessel disease. Neurol India 62:115–116

    Article  PubMed  Google Scholar 

  4. Voogd J, van Baarsen K (2014) The horseshoe-shaped commissure of Wernekinck or the decussation of the brachium conjunctivum methodological changes in the 1840s. Cerebellum 13:113–120.4. 5

    Article  PubMed  Google Scholar 

  5. Okuda B, Tachibana H, Sugita M, Maeda Y (1993) Bilateral internuclear ophthalmoplegia, ataxia, and tremor from a midbrain infarction. Stroke 24:481–482

    Article  CAS  PubMed  Google Scholar 

  6. Liu H, Qia L, He Z (2012) Wernekink commissure syndrome: a rare midbrain syndrome. Neurol Sci 33:1419–1421

    Article  PubMed  Google Scholar 

  7. Mossuto-Agatiello L (2006) Caudal paramedian midbrain syndrome. Neurology 66:1668–1671

    Article  PubMed  Google Scholar 

  8. Pedroza A, Dujovny M, Ausman JI, Diaz FG, Cabezudo AJ, Berman SK et al (1986) Microvascular anatomy of the interpeduncular fossa. J Neurosurg 64:484–493

    Article  CAS  PubMed  Google Scholar 

  9. Krishnan M, Rajan P, Kesavadas C, Iyer RS (2011) The ‘heart appearance’ sign in MRI in bilateral medial medullary infarction. Postgrad Med J 87:156

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank the staff of neurological 1, Du Cheng, Xiaorui Tian, for case discussion, and Longnv Luo for her assistance in preparation of the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yuanhong He.

Ethics declarations

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhou, C., He, Y., Chao, Z. et al. The “heart appearance” sign on MRI of Wernekink’s commissure syndrome caused by bilateral caudal paramedian midbrain infarction. Neurol Sci 39, 587–589 (2018). https://doi.org/10.1007/s10072-017-3159-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-017-3159-3

Navigation