Sudden death in a case of lateral medullary syndrome

Duberkar, Dhananjay; Khurana, Dheeraj; Gupta, Vivek; Prabhakar, Sudesh

doi:10.4103/0028-3886.51309

Neurol India

2009

DOI: 10.4103/0028-3886.51309

|View full text |Cite

Sudden death in a case of lateral medullary syndrome

Dhananjay Duberkar

Dheeraj Khurana

Vivek Gupta

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2013

2022

Publication Types

Select...

Article5

Relationship

Self Cite0

Independent5

Authors

Journals

Cited by 6 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It often leads to sudden death due to respiratory and cardiac arrest caused by ischemic injury to the autonomic nucleus. 3,4 Both of them are characteristic manifestations of MI. We found that many patients with sudden death after MI seemed to have more severe dysphagia.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Research on Relationship Between Dysphagia and Sudden Death After Medullary Infarction

et al. 2022

View full text Add to dashboard Cite

Background: Medullary infarction (MI) often leads to severe dysphagia and sudden death. We investigated whether dysphagia was associated with sudden death. Methods: Patients with MI were divided into sudden death group and nonsudden death group. Dysphagia was evaluated in 2 ways: the water-swallowing test (WST) points and the degree of dysphagia. Random undersampling (RUS), random oversampling (ROS), and synthetic minority oversampling technique (SMOTE) techniques were used to process the original data and solve the imbalance problem between 2 classes. Univariate and multivariate logistic regressions were used to analyze the association between the independent variables (WST and degree of dysphagia) and the dependent variable (sudden death or not), while the National Institutes of Health Stroke Scale (NIHSS) score was used as a control. Results: Univariate logistic regression analysis showed that for all resampling methods, both the WST and NIHSS were risk factors for sudden death after MI. For multivariable logistic regression, the fitting effect of RUS logistic regression was satisfactory, which showed the same results. The results of the univariate logistic regression analysis of dysphagia degree showed that for all resampling methods, compared with no dysphagia, both mild to moderate dysphagia degree and severe dysphagia degree were risk factors for sudden death. For multivariable logistic regressions, the logistic regressions of the original data and the RUS resampling method were satisfactory which showed the same results. Conclusions: Dysphagia is closely related to sudden death after MI. The more severe the dysphagia, the higher is the incidence of sudden death.

show abstract

mentioning

confidence: 99%

“…At the same time, MI is the most dangerous type of cerebral infarction. It often leads to sudden death due to respiratory and cardiac arrest caused by ischemic injury to the autonomic nucleus 3,4. Both of them are characteristic manifestations of MI.…”

mentioning

confidence: 99%

Research on Relationship Between Dysphagia and Sudden Death After Medullary Infarction

et al. 2022

View full text Add to dashboard Cite

show abstract

Sinus arrest following acute lateral medullary infarction

Alloush

Sami

et al. 2022

Neurol Sci

View full text Add to dashboard Cite

Lateral medullary syndrome (LMS) is an ischemic stroke of the medulla oblongata that involves the territory of the posterior inferior cerebellar artery. LMS is often missed as the cause of autonomic dysregulation in patients with recent brain stem stroke. Due to the location of the nucleus tractus solitarius (NTS), the dorsal vagal nucleus, and the nucleus ambiguous in the lateral medulla oblongata, patients with LMS occasionally have autonomic dysregulation–associated clinical manifestations. We report a case of LMS-associated autonomic dysregulation. The case presented by recurrent syncope, requiring permanent pacemaker placement. This case shows the importance of recognizing LMS as a potential cause of life-threatening arrhythmias, heart block, and symptomatic bradycardia. Extended cardiac monitoring should be considered for patients with medullary strokes.

show abstract

Clinical and Radiological Characteristics Associated with Respiratory Failure in Unilateral Lateral Medullary Infarction

Pavsic

Fabjan

Zgonc

et al. 2021

Journal of Stroke and Cerebrovascular Diseases

View full text Add to dashboard Cite

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Sudden death in a case of lateral medullary syndrome

Cited by 6 publications

References 5 publications

Research on Relationship Between Dysphagia and Sudden Death After Medullary Infarction

Research on Relationship Between Dysphagia and Sudden Death After Medullary Infarction

Sinus arrest following acute lateral medullary infarction

Clinical and Radiological Characteristics Associated with Respiratory Failure in Unilateral Lateral Medullary Infarction

Contact Info

Product

Resources

About