Pure Motor Monoparesis in the Upper Extremity Due to a Medial Medullary Infarction
Bibliographic record
Abstract
A 69-year-old man with essential hypertension abruptly presented with moderate pure motor monoparesis (PMM) in the left-sided upper extremity. There were no other neurologic abnormalities. Cranial magnetic resonance imaging demonstrated a small infarction in the caudal and lateral region of the right-sided medial medulla oblongata. Thereafter, intravenous anti-thrombin agent was initiated, and she became asymptomatic within 14 days. This is a first reported case of PMM in the upper extremity due to medial medullary infarction (MMI). In the medulla oblongata, we speculated that the corticospinal tract fibers innervating the lower extremity might decussate rostral to the fibers innervating the upper extremity. J Med Cases. 2015;6(1):8-9 doi: http://dx.doi.org/10.14740/jmc1989w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".