Background and Purpose-Clinical-imaging correlation and long-term clinical outcomes remain to be investigated in medial medullary infarction (MMI). Methods-We studied clinical, MRI, and angiographic data of 86 consecutive MMI patients. The lesions were correlated with clinical findings, and long-term outcomes, divided into mild and severe (modified Rankin scale Ͼ3), were assessed by telephone interview. Central poststroke pain (CPSP) was defined as persistent pain with visual numeric scale Ն4. Results-The lesions were located mostly in the rostral medulla (rostral 76%, rostralϩmiddle 16%), while ventro-dorsal lesion patterns include ventral (V, 20%), ventralϩmiddle (VM, 33%), and ventralϩmiddleϩdorsal (VMD, 41%