A case of lateral medullary syndrome with unilateral selective thermoanaesthesia

Mujeeb, V.R.; Tyagi, Arun; Jambunathan, Prashant

doi:10.17511/ijmrr.2019.i01.09

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Though traditionally LMS is commonly known as PICA syndrome, the commonest cause of LMS is atherothrombotic occlusion of the vertebral artery. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

Lateral medullary syndrome: Case report and review of literature

Singh

Thapliyal

Garg

2022

Journal of Family Medicine and Primary Care

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A BSTRACT Lateral medullary syndrome (LMS) or Wallenberg’s syndrome is an uncommon and often underdiagnosed cause of posterior circulation stroke. Thrombosis, embolization, or dissection of vertebral or posterior inferior cerebellar artery (PICA) often results into LMS. The most pathognomonic symptoms of LMS includes pain and temperature deficits on ipsilateral facial side and contralateral side of rest of the body, ipsilateral ataxia, vertigo, nystagmus, dysphagia, hoarseness, hiccups and Horner’s syndrome. We report a case of LMS in a 49-year-old Indian female with no known classical risk factors for stroke who presented with chief complaints of debilitating headache. Clinical examination was suggestive of LMS and radiological investigation confirmed the diagnosis. Patient’s hospital stay was uneventful and she was discharged to home with gradual improvement in her symptoms.

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“…Though traditionally LMS is commonly known as PICA syndrome, the commonest cause of LMS is atherothrombotic occlusion of the vertebral artery. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

Lateral medullary syndrome: Case report and review of literature

Singh

Thapliyal

Garg

2022

Journal of Family Medicine and Primary Care

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“…It might also be linked to airway blockage and obstructive sleep apnea. 5 The predominant clinical sign of a brainstem injury in this syndrome is "crossed hemiparesis or hemianesthesia," and complete Wallenberg syndrome is unusual. Gait instability is the most common sequelae and the majority of patients are able to resume their normal activities with satisfaction in the projected 60,000 new cases of the Wallenburg syndrome that usually occur every year in the United States.…”

Section: Clinical Featuresmentioning

confidence: 99%

Lateral medullary syndrome: an unwanted ischemia to identify early

et al. 2022

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Lateral medullary syndrome also referred to as Wallenberg syndrome, posterior inferior cerebellar artery (PICA) syndrome, or vertebral artery syndrome is a cluster of neurological symptoms and signs brought on by obstructions in the blood vessels supplying the medulla, which causes ischemia or infarction of the brainstem. The vertebral artery or the posterior inferior cerebellar artery are the arteries most frequently affected with lateral medullary syndrome. The most prevalent symptom is transient ischemic attack (TIA) with dizziness or vertigo and atherosclerosis in the posterior cerebral circulation being the most common cause. Lateral Medullary Syndrome patients suffer from strokes or infarction and also present with vomiting, nausea, gait impairment, instability, hoarseness, and swallowing difficulties. Depending on the particular nuclei and fibers involved, different indications will appear. CT/MRI imaging is used to diagnose conditions. The majority of management is supportive, including risk factor reduction for additional ischemia events as well as speech and occupational therapy following an acute intervention. In this review article, we discuss the etiopathogenesis and factors leading to lateral medullary syndrome along with a comprehensive discussion on its clinical features, challenges in diagnosis, and treatment.

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Wallenberg’s Syndrome: A Case Illustration

Ebinesh,

Prabhakar

2024

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A case of lateral medullary syndrome with unilateral selective thermoanaesthesia

Cited by 3 publications

References 10 publications

Lateral medullary syndrome: Case report and review of literature

Lateral medullary syndrome: Case report and review of literature

Lateral medullary syndrome: an unwanted ischemia to identify early

Wallenberg’s Syndrome: A Case Illustration

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