2009
DOI: 10.1017/s0317167100007216
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Lateral Medullary Syndrome Presenting with Ataxia and Bradycardia

Abstract: The following outlines the case of a 60-year-old man presenting with ataxia and bradycardia as a consequence of a lateral medullary syndrome.A 60-year-old right-handed man presented with a witnessed sudden loss of right arm coordination followed by brief loss of consciousness. Prior to symptom onset, while eating with his wife, the patient was suddenly unable to coordinate his fork, held in his right hand, between his plate and his mouth. He felt faint, his vision clouded and sounds became distant. The patient… Show more

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Cited by 4 publications
(3 citation statements)
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“…Several cases of lateral medullary syndrome combined with sinoatrial arrest have been reported recently (5,6). Gofton et al (7) reported a case of medullary dorsolateral syndrome combined with severe bradycardia and ataxia that has similarities to the present case. In addition, lateral medullary syndrome can also present with autonomic respiratory arrest due to damage to the decussating medullary and spinal pathways and consequent central hypoventilation syndrome or "Ondine's curse" (8).…”
Section: Discussionsupporting
confidence: 69%
See 1 more Smart Citation
“…Several cases of lateral medullary syndrome combined with sinoatrial arrest have been reported recently (5,6). Gofton et al (7) reported a case of medullary dorsolateral syndrome combined with severe bradycardia and ataxia that has similarities to the present case. In addition, lateral medullary syndrome can also present with autonomic respiratory arrest due to damage to the decussating medullary and spinal pathways and consequent central hypoventilation syndrome or "Ondine's curse" (8).…”
Section: Discussionsupporting
confidence: 69%
“…The risk of rupture of the dissecting aneurysm was considered, and stent placement + spring coil embolization was eventually selected, with the patient achieving a good outcome. Gofton et al (7) reported a case of Wallenberg syndrome presenting with bradycardia and ataxia with vertebral artery stenosis found on cranial MRA without evidence of arterial dissection. The vertebral artery does not supply the autonomic nervous system, and bradycardia is not inherently related to dissecting aneurysms.…”
Section: Discussionmentioning
confidence: 99%
“…Animal model studies and clinical human data suggest that lesions of the medullary tegmentum, particularly lesions that involve the nucleus solitarius, are capable of inducing prolonged bradycardia with sinus arrest. Bradycardia in those cases is supposedly a result of central imbalance between the sympathetic and parasympathetic systems [ 9 11 ]. Two consecutive MRI scans failed to show a structural brain abnormality and in particular a brainstem lesion in spite of the definite neurological involvement.…”
Section: Discussionmentioning
confidence: 99%