Aspiration with lateral medullary strokes

Kim et al. Aspiration subsequent to a pure medullary infarction. Lesion sites, clinical variables and outcome. Arch Neurol 2000; 57:478-483. Relates to paramedian lesions in lower or middle medulla due to effects on tongue movement but only if severe enough. Aspiration is almost assured in intermediate (ie midpons) dorsolateral. Recovery typically occurs within several months.