scholarly journals Wallenberg syndrome ( Lateral medullary syndrome)

2021 ◽  
Author(s):  
Mehmet Yağtu
2019 ◽  
Vol 10 (Vol 10 No. 4) ◽  
pp. 535-540
Author(s):  
Luminița NIRLU ◽  
Laura Georgiana POPESCU ◽  
Ana Carmen ALBEȘTEANU ◽  
Ali-Osman SAGLAM ◽  
Alexandru G. STAVRICĂ ◽  
...  

Introduction. Millard-Gubler syndrome (MGS), also known as the ventral pontine syndrome or hemiplegic syndrome, is one of the classical crossed syndromes characterized by a unilateral lesion of the basal portion of the caudal part of the pons. MGS manifests as ipsilateral palsy of CN VI and VII with contralateral hemiplegia. Wallenberg syndrome or lateral medullary syndrome, is characterized by the triad of Horner's syndrome, ipsilateral ataxia and contralateral hypoalgesia. Other clinical symptoms may include difficult swallowing, slurred speech, vertigo, nausea, vomiting, dyspnea, tachycardia, headaches and muscular hypertonia. Materials and Methods Having the patient’s consent and The Teaching Emergency Hospital “Bagdasar-Arseni” Ethics Committee N.O 20270 from the 26th of June 2019, the current case report presents a 67-year-old male patient from rural area with left hemiplegia (complete brachial and crural motor deficit), right eye abduction paresis, dysphagia, dysphonia, central facial palsy - all post acute ischemic stroke. The patient was also diagnosed with ischemic cardiomyopathy, atherosclerosis, alcoholism, type 2 diabetes with Insulin therapy and oral antidiabetic agent. The patient was admitted in the Neurorehabilitation Clinic of the Teaching Emergency Hospital „Bagdasar-Arseni” (TEHBA) Bucharest, Romania, associating severe alteration in self-care abilities, locomotor dysfunction, memory disorders, slurred speech, for specialized rehabilitation treatment and nursing. Results. A case of rare pathology for which, unfortunately, there is a discrepancy between functional improvement and the poor motor control in the in the lower limbs (muscle force was 0-1 out of 5 on the Medicale Research Council scale), within an overall favorable evolution, including elements of the clinical status afferent to the two above mentioned syndromes. Conclusions. Approaching such a clinical case has been a complex and extensive challenge for the entire neuromuscular recovery team and remains similar for any other squad. This pathology remains an issue that demands our earnest attention. Key words: Millard-Gubler syndrome (MGS), Wallenberg syndrome, crossed syndromes, hemiplegia, neurorehabilitation, stroke


2018 ◽  
Vol 2 (3) ◽  
pp. 306-308
Author(s):  
Dinesh K Thapa ◽  
Chandra Prakash Yadav ◽  
Chandra Prakash Limbu ◽  
Sudan Dhakal

Wallenberg's syndrome which is also known as Lateral medullary syndrome and posterior inferior cerebellar artery syndrome is a very rare cause of cerebrovascular accident (CVA). This has variability of presentation which cause the under diagnose for Wallenberg Syndrome. Generally ischemic CVA and especially medullary infarction occurs in the old patients but here we report two cases of Wallenberg syndrome in young adults, first is 35 years male and second is 38 years female. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 306-308


2015 ◽  
Vol 4 (2) ◽  
pp. 188
Author(s):  
NV Sundarachary ◽  
A Sridhar

Purpose: This case discusses the neurological impact of Wallenberg syndrome on the visual-vestibular system and provides a clinical pathologic correlation between neuro-anatomic involvements with the manifesting symptoms. Case Report: A 50-year-old male presented for consultation following a left lateral medullary infarct occlusion of the left vertebral artery (Wallenberg syndrome) with complaints of intermittent binocular diplopia, vertigo, and oscillopsia. Assessment revealed an intermittent central nystagmus, a right skew deviation, and a left Horner’s syndrome. Video recordings of the nystagmus and ocular motor responses were documented. Conclusion: Wallenberg syndrome has very defined characteristics which can be used clinically to make a definitive diagnosis.It is important for eye care professionals to understand the neuro-anatomic involvements associated with this condition and make the clinical correlation to aid in the treatment and management of these patients.


Author(s):  
Hany Aref ◽  
Tamer Roushdy ◽  
Amr Zaki ◽  
Nevine El Nahas

Abstract Background Lateral medullary syndrome causing Ondine’s curse is a rare yet fatal brainstem infarction. Any patient presenting with lateral medulla infarction ought to be well observed and a polysomnography must be ordered for him. Case presentation A patient presenting with Ondine’s curse is dealt with through polysomnography as a diagnostic procedure that was followed by tracheostomy with portable ventilator and cardiac pacemaker as a therapeutic maneuver which ultimately preserved his life. Conclusion Lateral medullary syndrome infarct could be a life-threatening stroke if not diagnosed and managed properly.


2020 ◽  
Vol 12 (3) ◽  
pp. 460-465
Author(s):  
Fumihito Yoshii ◽  
Reiko Matsushita ◽  
Wakoh Takahashi

We report an 87-year-old woman with right dorsolateral medullary hemorrhage. She did not show all of the usual symptoms of Wallenberg syndrome and her main symptom was severe dysphagia. Dorsolateral medullary hemorrhage may be overlooked, because it is rare and does not exhibit the typical Wallenberg syndrome presentation usually seen in patients with infarction at the dorsolateral medulla.


1959 ◽  
Vol 32 (377) ◽  
pp. 342-343 ◽  
Author(s):  
Bryan Ashworth ◽  
W. M. C. Allen

2001 ◽  
Vol 121 (2) ◽  
pp. 420-426 ◽  
Author(s):  
Rosemary Martino ◽  
Norah Terrault ◽  
Frances Ezerzer ◽  
David Mikulis ◽  
Nicholas E. Diamant

Neurology ◽  
2000 ◽  
Vol 55 (4) ◽  
pp. 604-604 ◽  
Author(s):  
J. L. Bernat ◽  
L. Suranyi ◽  
M. Hersch

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