目的报道1例椎动脉夹层导致延髓内侧梗死病例。方法回顾性描述1例椎动脉夹层致延髓内侧梗死患者的临床资料、实验室和影像学检查结果,并复习相关文献进行分析。结果患者为青年男性,颈部扭伤后出现延髓内侧梗死,高分辨MRI检查确认病因为梗死侧椎动脉夹层。结论椎动脉夹层致延髓内侧梗死病例文献报道较少,临床需引起重视,提高诊断率。 Objective To report a case of vertebral artery dissection leading to the medial medulla oblongata. Methods The clinical data, laboratory and imaging findings of 1 patient with medial medial bulbar infarction caused by vertebral artery dissection were retrospectively reviewed. The related literatures were reviewed. Results The patients were young men. Medial medullary infarction occurred after cervical sprain. High-resolution MRI confirmed the cause of infarction lateral vertebral artery dissection. Conclusion There are few reports of medial medullary infarction caused by vertebral artery dissection, so it is necessary to pay more attention to clinical diagnosis and improve the diagnosis rate.