关键词: 延髓内侧出血; 双侧延髓; 脑干出血; 脑出血; 高血压脑出血

Abstract: In clinical practice, medullary hemorrhage is very rare in intracerebral hemorrhage, and literature often presents it in the form of case reports. Bilateral medial medullary hemorrhage is even rarer. This paper presents a case of an elderly male patient with a long history of hypertension and poorly controlled blood pressure. This time, the patient developed an acute onset of “dizziness, headache accompanied by nausea, vomiting”, and later developed symptoms such as difficulty in swallowing, dysphagia, aphasia, quadriplegia. Cranial CT scan showed a high density area on both sides of the medulla oblongata with a “heart” shape, diagnosed as medullary hemorrhage, and it was considered that this onset is related to hypertension. The full text first introduces the diagnosis and treatment process of the patient, and then discusses the etiology, clinical manifestations, auxiliary examinations, treatment and outcome, aiming to increase clinical experience of clinicians in diagnosis and treatment of this disease.

Key words: Medial medullary hemorrhage; Bilateral medulla oblongata; Brain stem hemorrhage; Intracerebral hemorrhage; Hypertensive intracerebral hemorrhage