A case report: Lateral medullary syndrome with facial nerve palsy and hemiparesis

Shrestha, Ramesh; Kharel, Ghanshyam; Acharya, Shraddha; Pandit, Rohit; Limbu, Nitu

doi:10.1016/j.amsu.2022.104722

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…In the case described here, the presenting symptom was facial weakness of the lower face in an upper motor neuron pattern. This presentation has been clinically described previously, 9,10 but appears to be a rare finding on examination. The facial nucleus resides in the dorsolateral pons, and thus ischemic lesions of the caudal pons can lead to lower motor neuron facial weakness.…”

Section: Discussionsupporting

confidence: 63%

Lateral Medullary Syndrome With Ipsilateral Upper Motor Neuron Facial Palsy

Ryan,

Gaini,

Snider

et al. 2023

The Neurohospitalist

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Lateral medullary syndrome is a common presentation of posterior circulation ischemia that presents with ipsilateral Horner syndrome, ipsilateral facial numbness, contralateral body numbness, vestibular symptoms, ataxia, dysphagia, and dysarthria. Here, we describe an 84-year-old who presented to the hospital with right upper motor neuron facial weakness and gait abnormality found to have a right lateral medullary ischemic stroke. Multiple MRI’s, including with thin brainstem slices, were without evidence of pontine, midbrain or cerebral ischemia outside the medulla. We postulate that the patient’s ipsilateral upper motor neuron facial weakness was caused by involvement of aberrant corticobulbar fibers in the medulla ascending to the facial nucleus.

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Section: Discussionsupporting

confidence: 63%

Lateral Medullary Syndrome With Ipsilateral Upper Motor Neuron Facial Palsy

Ryan,

Gaini,

Snider

et al. 2023

The Neurohospitalist

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“…Wallenberg syndrome can also be caused by Marfan syndrome, Ehlers-Danlos syndrome, fibromuscular dysplasia, and vertebral artery dissection. 11 Hemorrhagic stroke in the medulla oblongata has several main symptoms. Dysarthria and dysphagia are bulbar symptoms, whereas nausea or vomiting, dizziness, swaying, and diplopia are vestibulocerebellar symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Contralateral hemiparesis could result from a caudal extension of the pyramidal tract before the decussation in the medulla oblongata. 11,12,13 A study by Zhang et al reported a healthy 19year-old woman who presented with nausea, vomiting, dizziness, and vertigo. It progressively worsened with hoarseness, swallowing disturbance, imbalance, and numbness of the right face and left side limbs and trunk with an acute onset.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic Wallenberg Syndrome Accompanied by Horner Syndrome at Young Age

Imran

Fadhila²

2023

AKSONA

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Highlight: Wallenberg syndrome caused by medulla oblongata hemorrhage with good functional outcome. Wallenberg syndrome is accompanied by Horner's syndrome, which occurs at a young age. In patients with Wallenberg syndrom, conservative management and medical rehabilitation are used. ABSTRACT Introduction: Wallenberg syndrome is a rare syndrome involving the medulla oblongata, an uncommon hemorrhage site. It is also known as lateral medullary syndrome or posterior inferior cerebellar artery syndrome. Wallenberg syndrome has several symptoms that can be divided into vestibulo-cerebellar, bulbar, autonomic, sensory, and atypical. Case: A 27-year-old man came to the emergency unit complaining of dizziness and swinging, as well as a left eyelid that did not open completely, a lack of sweat on the left side of the face, a hoarse voice, swallowing disturbances, hiccups, decreased hearing in the left ear, and a lack of sensation on the left side of the face and the right side of the body. The patient tended to fall to the left and was unsteady when standing. Physical examination revealed Horner syndrome, bidirectional nystagmus, left dysdiadochokinesia, and left ataxia. A CT scan of the head showed a left-sided medulla oblongata hemorrhage. The patient was given conservative therapy, feeding through a nasogastric tube, and medical rehabilitation. A repeat CT scan of the head was done one week later, and it was discovered that the hemorrhage in the medulla oblongata had begun to absorb. Conclusion: Wallenberg syndrome, with a manifestation of hemorrhagic stroke in the medulla oblongata, can occur at a young age with various clinical symptoms. The diagnosis of Wallenberg syndrome is made based on clinical symptoms and imaging findings. Conservative therapy using medicines and medical rehabilitation can provide a speedy recovery. An incorrect diagnosis is a major hazard to patient safety and can have serious consequences, including permanent disability or death.

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A case report: Lateral medullary syndrome with facial nerve palsy and hemiparesis

Cited by 2 publications

References 9 publications

Lateral Medullary Syndrome With Ipsilateral Upper Motor Neuron Facial Palsy

Lateral Medullary Syndrome With Ipsilateral Upper Motor Neuron Facial Palsy

Hemorrhagic Wallenberg Syndrome Accompanied by Horner Syndrome at Young Age

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