Horner's Syndrome, Hoarseness, and Unsteady Gait

Baugh, Christopher W.; Brown, David F.M.; Nadel, Eric S.

doi:10.1016/j.jemermed.2008.12.015

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…The triad of Horner syndrome, ipsilateral ataxia, and contralateral hypoalgesia clinically identifies the patient with lateral medullary syndrome 5,6 ; however, the diagnosis should be considered in all patients with sudden-onset symptoms and signs localizing to the medulla. Table 1 shows the pooled sensitivity of various symptoms and signs compiled from the largest case series in the literature (specificity has not been determined through prospective observation but is likely low).…”

Section: Discussionmentioning

confidence: 99%

Lateral medullary syndrome: a diagnostic approach illustrated through case presentation and literature review

Day

Swartz

Chenkin

et al. 2014

CJEM

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Patients with lateral medullary syndrome classically present with crossed hemisensory disturbance, ipsilateral Horner syndrome, and cerebellar signs, all of which are attributable to infarction of the lateral medulla. However, variability in the presentation of this syndrome is the rule, as illustrated in this case presentation and literature review. We propose an approach to diagnosis and management of the lateral medullary syndrome and illustrate the need to integrate clinical information with an understanding of brainstem anatomy with the goal of determining which patients require urgent neuroimaging and acute stroke therapies. The importance of recognition of this condition in the emergency department is underscored by the association between lateral medullary infarction and vertebral artery dissection. With optimal therapy, the prognosis for recovery from lateral medullary syndrome is good. RÉ SUMÉLes patients qui souffrent du syndrome bulbaire laté ral pré sentent gé né ralement des troubles hé misensoriels croisé s, un syndrome de Claude Bernard-Horner homolaté ral et des signes cé ré belleux, manifestations qui ré sultent toutes d'un infarctus du bulbe laté ral. Toutefois, le tableau clinique habituel du syndrome est variable, comme en té moignent un exposé de cas et l'examen de la documentation. Nous ferons donc é tat de l'approche diagnostique et de la prise en charge du syndrome bulbaire laté ral, et soulignerons la né cessité de rassembler tous les renseignements d'ordre clinique et de les mettre en relation avec l'anatomie du tronc cé ré bral afin de distinguer les patients devant subir d'urgence des examens en neuro-imagerie et des traitements pour un accident vasculaire cé ré bral. L'association entre l'infarctus du bulbe laté ral et la dissection de l'artè re verté brale fait ressortir l'importance de reconnaître cette premiè re affection au service des urgences. Moyennant le meilleur traitement possible, le syndrome bulbaire laté ral porte un pronostic favorable quant au ré tablissement.

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Section: Discussionmentioning

confidence: 99%

Lateral medullary syndrome: a diagnostic approach illustrated through case presentation and literature review

Day

Swartz

Chenkin

et al. 2014

CJEM

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“…The symptoms of lateral medullary infarction are ipsilateral facial sensory disturbance, contralateral body sensory disturbance, ipsilateral ataxia, ipsilateral Horner syndrome, and ipsi-or contralesional nystagmus can be found in some as well. 5 So, in second case of this report, contralesional nystagmus and increased ipsilesional falling tendency could be explained by the involvement of vestibular nucleus and dorsal spinocerebellar tract or descending vestibulospinal tract, respectively. Important risk factors for lateral medullary infarction are vertebral artery dissection for younger patients and large artery atherosclerosis in older patients.…”

Section: Discussionmentioning

confidence: 54%

Perfusion Magnetic Resonance Imaging in Transient Symptoms of Lateral Medullary Syndrome

Chung

Cho

Lee

2018

J Neurosonol Neuroimag

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“…Ipsilateral Horner's syndrome (miosis, ptosis, and anhidrosis) occurs when damage to descending sympathetic fibers occurs. In certain patients, disguise (distortion of taste) occurs, which is due to involvement of solitary nucleus [4][5][6][7][8]. Tachycardia, orthostatic hypo-tension without tachycardia and intermittent bradycardia may be found if the dorsal motor nucleus of the vagus nerve is affected, due to involvement of the autonomic system.…”

Section: Introductionmentioning

confidence: 99%

“…Tachycardia, orthostatic hypo-tension without tachycardia and intermittent bradycardia may be found if the dorsal motor nucleus of the vagus nerve is affected, due to involvement of the autonomic system. Undine's curse or failure of automatic respiration leading to respiratory arrest during sleep may occur in injury to the ventrolateral medullary tegmentum and medullary reticular zone [3][4][5][6][7][8] (Figure 1).…”

Section: Introductionmentioning

confidence: 99%

Recovery of Deglutition Disorder in Posterior Inferior Cerebellar Artery Stroke-A Case Reports

Nikhila¹

2017

GJO

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Introduction: Posterior Inferior Cerebellar Artery stroke is most commonly seen with dysphagia, dysarthria, and gait problems. In this we are presenting 2 patients who received combined Traditional therapy and vital stim therapy and only swallow rehabilitation therapy along with the recovery pattern.Methods: A patient with 63 years and 65 years old Men were reported to our hospital with a stroke, with a common history of Hypertension, and non-diabetic, and with sudden onset of dysphagia, dysarthria and ataxia of the gait, but one person was smoker. The patients was clinically diagnosed with a acute ischemic stroke with left posterior inferior cerebellar artery infarct .Clinical dysphagia bed side evaluation was done along with FEES test and graded with level1 based on their National Outcome Measurements system (NOMS). Swallowing level scale was used as parameter for evaluating the level-1.Later, one the patient has received combined vital stim therapy with traditional therapy for number of sessions where as other not.Results: Deglutition disorder was clinically more severe in patients with PICA syndrome than in other groups. The pharyngeal phase of swallowing was predominantly impaired .Fast recovery has seen with combination of vital stim therapy and traditional therapy and the patient was graded with level-7 based on National outcomes Measurements system (NOMS). Conclusion:combined vital stim electrical therapy and traditional therapy has greater effect to overcome dysphagia. However, large placebo randomised study is required to establish the effective recovery patterns.

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Horner's Syndrome, Hoarseness, and Unsteady Gait

Cited by 5 publications

References 11 publications

Lateral medullary syndrome: a diagnostic approach illustrated through case presentation and literature review

Lateral medullary syndrome: a diagnostic approach illustrated through case presentation and literature review

Perfusion Magnetic Resonance Imaging in Transient Symptoms of Lateral Medullary Syndrome

Recovery of Deglutition Disorder in Posterior Inferior Cerebellar Artery Stroke-A Case Reports

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