Lateral medullary syndrome: Difference between revisions
(Created page with "==Background== Lateral medullary syndrome (aka Wallenberg syndrome, PICA syndrome) -occlusion of posterior inferior cerebellar artery -can represent an occlusion of the verteb...") |
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==Background== | ==Background== | ||
*Also known as Wallenberg syndrome, PICA syndrome | |||
*Caused by occlusion of the posterior inferior cerebellar artery (PICA) | |||
**Can also be caused by occlusion of the vertebral artery at the origin of PICA | |||
==Clinical Features== | ==Clinical Features== | ||
*Contralateral loss of pain and temperature sensation to body | |||
*Ipsilateral loss of pain and temperature sensation to face | |||
*[[Dysphagia]], soft palate paralysis, hoarseness, diminished gag reflex | |||
*Ipsilateral [[Horner syndrome]] | |||
*[[Nausea]], [[diplopia]], patient that is falling to the ipsilateral side, [[nystagmus]], [[vertigo]] | |||
*[[Ataxia]] to the ipsilateral side | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
==Evaluation== | ==Evaluation== | ||
*See [[Stroke]] | |||
==Management== | ==Management== | ||
*See [[Stroke]] | |||
==Disposition== | ==Disposition== | ||
==See Also== | ==See Also== | ||
*[[Stroke syndromes]] | |||
==External Links== | ==External Links== | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Neurology]] | |||
Latest revision as of 03:43, 3 October 2019
Background
- Also known as Wallenberg syndrome, PICA syndrome
- Caused by occlusion of the posterior inferior cerebellar artery (PICA)
- Can also be caused by occlusion of the vertebral artery at the origin of PICA
Clinical Features
- Contralateral loss of pain and temperature sensation to body
- Ipsilateral loss of pain and temperature sensation to face
- Dysphagia, soft palate paralysis, hoarseness, diminished gag reflex
- Ipsilateral Horner syndrome
- Nausea, diplopia, patient that is falling to the ipsilateral side, nystagmus, vertigo
- Ataxia to the ipsilateral side
Differential Diagnosis
Evaluation
- See Stroke
Management
- See Stroke