Wallenberg’s syndrome (lateral medullary syndrome)

Published on 05/05/2015 by admin

Filed under Internal Medicine

Last modified 05/05/2015

Print this page

rate 1 star rate 2 star rate 3 star rate 4 star rate 5 star
Your rating: none, Average: 0 (0 votes)

This article have been viewed 1210 times

86 Wallenberg’s syndrome (lateral medullary syndrome)

Instruction

Examine this patient’s cranial nerves.

Salient features

History

• Severe nausea, vomiting, nystagmus (involvement of the lower vestibular nuclei)

• Limb ataxia (involvement of the inferior cerebellar peduncle)

• Intractable hiccups, dysphagia (ninth and tenth cranial nerve involvement).

Examination

• Nystagmus

• Ipsilateral involvement of fifth, sixth, seventh and eighth cranial nerves

• Bulbar palsy: impaired gag, sluggish palatal movements

• Horner syndrome.

Proceed as follows:

• Tell the examiner that you would like to check for the following:

• Cerebellar signs on the same side
• Pain and temperature sensory loss on the opposite side (dissociated sensory loss).

Remember:

• The main features of this syndrome is ipsilateral Horner syndrome and contralateral loss of pain and temperature sensation.

Buy Membership for Internal Medicine Category to continue reading. Learn more here

Related posts:

Default ThumbnailSixth cranial nerve palsy Osteoarthrosis Cataracts Ebstein’s anomaly Paget’s disease Fibrosing alveolitis