{
  "abstract": "The clinical course of early recurrent lateral medullary infarction (LMI) is unclear. We describe the case of an 83-year-old man with severe vertebral artery atherosclerosis who developed early recurrent right LMI. He had ipsilateral Horner's syndrome, bulbar symptoms, and ipsilateral motor-sensory deficits (an Opalski syndrome-like presentation). Imaging revealed caudal extension of the lesion toward the paramedian cervicomedullary junction. A gradual improvement was observed with dual antiplatelet therapy and argatroban hydrate. Contralateral hypoalgesia and thermohypoesthesia were initially minimal, became prominent after 1 week, and later improved spontaneously. Delayed sensory changes during recurrent LMI may complicate the clinical interpretation, warranting careful serial neurological and radiological assessments.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "Yujiro Yoshioka"
    },
    {
      "name": "Takahide Nagashima"
    },
    {
      "name": "Jun Goto"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2037h6aazws5j.bib",
  "cited_by": 0,
  "doi": "10.2169/internalmedicine.7522-26",
  "fulltext_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7522-26/_article",
  "id": "2037h6aazws5j",
  "issns": [
    "1349-7235",
    "0918-2918"
  ],
  "landing_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7522-26/_article",
  "language": null,
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "jstage-journal",
      "medicine/general"
    ],
    [
      "openalex",
      "2713|Acute Ischemic Stroke Management"
    ]
  ],
  "openalex": "W7213956201",
  "pdf_url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7522-26/_pdf",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-22",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2037h6aazws5j.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:31Z",
      "native_id": "10.2169/internalmedicine.7522-26",
      "source": "jstage",
      "url": "https://www.jstage.jst.go.jp/article/internalmedicine/advpub/0/advpub_7522-26/_article"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Acute Ischemic Stroke Management",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Recurrent Lateral Medullary Infarction with Ipsilateral Motor and Sensory Deficits and a Delayed Worsening of Crossed Hypoalgesia and Thermohypoesthesia: A Case Report",
  "title_text": "Recurrent Lateral Medullary Infarction with Ipsilateral Motor and Sensory Deficits and a Delayed Worsening of Crossed Hypoalgesia and Thermohypoesthesia: A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:31Z",
  "url": "https://research.draconitic.com/paper/2037h6aazws5j",
  "venue": "Internal Medicine",
  "versions": []
}