Sensorimotor hemiparesis with secondary cervical dystonia following lateral caudal medullary infarction without signs and symptoms of Wallenberg syndrome

2004 ◽  
Vol 219 (1-2) ◽  
pp. 167-168 ◽  
Author(s):  
Yoshinori Kajimoto ◽  
Hideto Miwa ◽  
Masami Ueno ◽  
Tomoyoshi Kondo
Keyword(s):  
Cervical Dystonia ◽  
Signs And Symptoms ◽  
Wallenberg Syndrome ◽  
Medullary Infarction

scholarly journals Wallenberg Syndrome with Associated Motor Weakness in a Two-Week-Postpartum Female

2015 ◽  
Vol 7 (3) ◽  
pp. 186-190 ◽  
Author(s):  
David W. Louis ◽  
Nimit Dholakia ◽  
Michael J. Raymond
Keyword(s):  
Inpatient Rehabilitation ◽  
Acute Onset ◽  
Middle Cerebellar Peduncle ◽  
Lateral Medullary Infarction ◽  
Gradual Improvement ◽  
Motor Weakness ◽  
Wallenberg Syndrome ◽  
Inpatient Rehabilitation Facility ◽  
Cerebellar Peduncle ◽  
Medullary Infarction

A 30-year-old, right-handed female presented 2 weeks postpartum with acute-onset severe headache, vertigo, and vomiting. Initial neurologic examination illustrated lingual dysarthria, horizontal nystagmus, right dysmetria on finger-to-nose testing, and weakness of the extremities. Magnetic resonance imaging showed a large, left lateral medullary infarction (Wallenberg syndrome) with cephalad extension into the ipsilateral pons as well as involvement of the left middle cerebellar peduncle. The patient was discharged 3 weeks later to an inpatient rehabilitation facility with gradual improvement of her symptoms.

scholarly journals Central Pain Mimicking Trigeminal Neuralgia as a Result of Lateral Medullary Ischemic Stroke

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Abinayaa Ravichandran ◽  
Kareem S. Elsayed ◽  
Hussam A. Yacoub
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Facial Pain ◽  
Central Pain ◽  
Lateral Medullary Infarction ◽  
Wallenberg Syndrome ◽  
Work Up ◽  
Medullary Infarction

Background. Central pain mimicking trigeminal neuralgia (TN) as a result of lateral medullary infarction or Wallenberg syndrome has been rarely reported. Case Report. We discuss a patient who presented with a lateral medullary infarct and shortly after developed facial pain mimicking TN. We also elaborate on the anatomical pathway of the trigeminal nerve explaining facial pain as a result of a lateral medullary lesion. Discussion. Clinicians should be aware of this typical complication of lateral medullary infarct in order to attain proper management and work-up.

scholarly journals Contralateral Body Half Hypalgesia in a Patient with Lateral Medullary Infarction: Atypical Wallenberg Syndrome

2008 ◽  
Vol 59 (3-4) ◽  
pp. 211-215 ◽  
Author(s):  
She-Qing Zhang ◽  
Ming-Yuan Liu ◽  
Bo Wan ◽  
Hui-Min Zheng
Keyword(s):  
Lateral Medullary Infarction ◽  
Wallenberg Syndrome ◽  
Medullary Infarction

scholarly journals Wallenberg's Syndrome in Young Adults: Case Report

2018 ◽  
Vol 2 (3) ◽  
pp. 306-308
Author(s):  
Dinesh K Thapa ◽  
Chandra Prakash Yadav ◽  
Chandra Prakash Limbu ◽  
Sudan Dhakal
Keyword(s):  
Young Adults ◽  
Cerebrovascular Accident ◽  
Posterior Inferior Cerebellar Artery ◽  
Old Patients ◽  
Wallenberg Syndrome ◽  
Wallenberg’S Syndrome ◽  
Wallenberg's Syndrome ◽  
Cerebellar Artery ◽  
Lateral Medullary Syndrome ◽  
Medullary Infarction

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

scholarly journals Laterality of Skin Temperature and Magnetic Resonance Imaging in Patients with Wallenberg Syndrome

2021 ◽  
Vol 13 (2) ◽  
pp. 47-54
Author(s):  
Sun Ki Min ◽  
Jinyoung Oh ◽  
Taemin Kim ◽  
Ji Eun Han ◽  
Sang Won Han ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Brain Magnetic Resonance Imaging ◽  
Rostral Ventrolateral Medulla ◽  
Ventrolateral Medulla ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Wallenberg Syndrome ◽  
Sympathetic Nervous ◽  
Medullary Infarction

Background: Recently, lateral differences in body surface temperature (BST) have been reported as a symptom of Wallenberg syndrome (WS), resulting from disturbances in the sympathetic nerve pathway. This study aimed to investigate the relationship between the laterality of BST and brain magnetic resonance imaging (MRI) findings in 12 patients with WS.Methods: BST was measured using an infrared thermal camera at 7±3 days and 90±30 days after symptom onset. The MRI findings were categorized as rostral, middle, and caudal medulla rostrocaudally and typical, ventral, large, dorsal, and lateral types in the horizontal direction.Results: MRI revealed medullary lesions on the right in five patients and on the left in seven patients. Two patients without lateralized BST had lateral caudal medullary infarction, and one patient had a dorsal middle medullary infarction. One patient with lateralized BST had a rostral medullary infarction and the other had a typical or large middle medulla infarction. Lateralized BST in patients with WS may disturb the sympathetic nervous system pathway that descends from the rostral ventrolateral medulla oblongata. Deficits in sweating and skin blood flow may cause BST laterality.Conclusion: This study showed that lateralized BST in patients with WS may be associated with disturbances in the sympathetic nervous pathway descending from the rostral ventrolateral medulla. These results support the assumption that autonomic dysfunction may be related to abnormal sensory symptoms in patients with WS.

scholarly journals A Case of Cervical Dystonia with Non Responsive To Usual Noninvasive Treatment

2017 ◽  
Vol 6 (1) ◽  
pp. 44-46
Author(s):  
Fahmida Hafez ◽  
Md Zahidul Islam ◽  
Jebun Nessa ◽  
Md Sk Shahidullah ◽  
Shahina Sobhan ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Cervical Dystonia ◽  
Signs And Symptoms ◽  
Short Wave ◽  
Ultra Sound ◽  
Noninvasive Treatment ◽  
Sound Therapy ◽  
History Of ◽  
Type Of Exercise ◽  
Awkward Posture

Cervical dystonia is a focal dystonia characterized by neck muscles contracting involuntarily-causing abnormal movement and awkward posture of the head and neck. A rare disorder can occur at any age even at infancy. Symptoms generally begin gradually and then reach a point where they don't get substantially worse. Asymmetry of the sternocleidomastoid (SCM) is often present in untreated patient. There is no cure for cervical dystonia. Injecting botulinum toxin into the affected muscles often reduces the signs and symptoms of cervical dystonia. In this case, it has been described a rare case of a forty seven year old male patient with a history of cervical dystonia presented with struggle with head position, resisting but never overcoming the tendency of his head to assume an unnatural position. The management including drugs like oral analgesic, muscle relaxant, anti-Parkinson drug & even antipsychotic drug were used. Physiatric approach like different modalities of heat such as Short wave diathermy (SWD), Microwave diathermy (MWD) & Ultra sound therapy (UST) were used. Brace like cervical collar and different type of exercise was also prescribed, even botulinum toxin injected into suspected muscles but all discussed above failed in this case.J Shaheed Suhrawardy Med Coll, June 2014, Vol.6(1); 44-46

Effect of Transcutaneous Vagus Nerve Stimulation in Dysphagia After Lateral Medullary Infarction: A Case Report

2019 ◽  
Vol 28 (4) ◽  
pp. 1381-1387
Author(s):  
Ying Yuan ◽  
Jie Wang ◽  
Dongyu Wu ◽  
Dahua Zhang ◽  
Weiqun Song
Keyword(s):  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Rating Scale ◽  
Tube Feeding ◽  
Nasogastric Feeding ◽  
Lateral Medullary Infarction ◽  
Severe Dysphagia ◽  
Transcutaneous Vagus Nerve Stimulation ◽  
Medullary Infarction

Purpose Severe dysphagia with weak pharyngeal peristalsis after dorsal lateral medullary infarction (LMI) requires long-term tube feeding. However, no study is currently available on therapeutic effectiveness in severe dysphagia caused by nuclear damage of vagus nerve after dorsal LMI. The purpose of the present investigation was to explore the potential of transcutaneous vagus nerve stimulation (tVNS) to improve severe dysphagia with weak pharyngeal peristalsis after dorsal LMI. Method We assessed the efficacy of 6-week tVNS in a 28-year-old woman presented with persisting severe dysphagia after dorsal LMI who had been on nasogastric feeding for 6 months. tVNS was applied for 20 min twice a day, 5 days a week, for 6 weeks. The outcome measures included saliva spitted, Swallow Function Scoring System, Functional Oral Intake Scale, Clinical Assessment of Dysphagia With Wallenberg Syndrome, Yale Pharyngeal Residue Severity Rating Scale, and upper esophagus X-ray examination. Results After tVNS, the patient was advanced to a full oral diet without head rotation or spitting. No saliva residue was found in the valleculae and pyriform sinuses. Contrast medium freely passed through the upper esophageal sphincter. Conclusion Our findings suggest that tVNS might provide a useful means for recovery of severe dysphagia with weak pharyngeal peristalsis after dorsal LMI. Supplemental Material https://doi.org/10.23641/asha.9755438

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