Fabry disease presenting as bilateral medial medullary infarction with a heart appearance sign: a case report

摘要

Brain diffusion-weighted image on admission showing a “heart-shaped” hyperintense area in the bilateral ventral medulla, characteristic of bilateral MMI. Corresponding apparent diffusion coefficient map, showing restricted diffusion within the heart-shaped lesion. Diffusion-weighted image at 40 days after admission showing two small subcortical infarcts in bilateral cerebral hemisphere. Computed tomography angiogram showing mild stenosis in the left vertebrobasilar junction (arrowhead) and anatomic variability of the right vertebral artery, which extended directly into the posterior inferior cerebellar artery (arrows)