Lateral medullary syndrome: Difference between revisions

No edit summary
 
Line 9: Line 9:
*[[Dysphagia]], soft palate paralysis, hoarseness, diminished gag reflex
*[[Dysphagia]], soft palate paralysis, hoarseness, diminished gag reflex
*Ipsilateral [[Horner syndrome]]
*Ipsilateral [[Horner syndrome]]
*[[Nausea]], diplopia, patient that is falling to the ipsilateral side, nystagmus, [[vertigo]]
*[[Nausea]], [[diplopia]], patient that is falling to the ipsilateral side, [[nystagmus]], [[vertigo]]
*[[Ataxia]] to the ipsilateral side
*[[Ataxia]] to the ipsilateral side



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


Management

Disposition

See Also

External Links

References