| Between Wallenberg syndrome and hemimedullary lesion: Cestan-Chenais and Babinski-Nageotte syndromes in medullary infarctions. | |
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MedLine Citation:
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PMID: 16775654 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In comparison with the lateral (Wallenberg), medial (Dejerine) and hemimedullary (Reinhold) medulla oblongata syndromes, the Babinski-Nageotte and Cestan-Chenais syndromes are much less familiar cerebrovascular disorders. While the Babinski-Nageotte syndrome is usually confused with the hemimedullary syndrome, reports of the extremely rare Cestan-Chenais syndrome are missing from the modern neurological literature. The pathological and magnetic resonance imaging (MRI) correlations of the Cestan-Chenais syndrome have not been shown so far. We compared clinical and MRI features of two patients exhibiting classical Babinski-Nageotte and Cestan-Chenais syndromes according to their original descriptions with those of three patients with lateral, medial and hemimedullary syndromes. Our study shows that Babinski-Nageotte syndrome includes all symptoms of the Wallenberg syndrome and additionally contralateral hemiparesis due to a spreading of the "Wallenbergian" lateral lesion to the pyramidal tract. The Cestan-Chenais syndrome includes all symptoms of the Babinski-Nageotte syndrome with the exception of the ipsilateral cerebellary hemiataxia because of sparing of the posterior spinocerebellar tract. The Babinski-Nageotte syndrome is neither clinically nor on MRI identical with hemimedullary syndrome. Hypoglossal palsy, an invariable symptom of hemimedullary lesion is not part of the Babinski-Nageotte syndrome. The contralateral hypesthesia is dissociated in the Babinski-Nageotte syndrome. The Babinski-Nageotte and Cestan-Chenais syndromes are intermediolateral medullary syndromes with all (Babinski-Nageotte) or nearly all (Cestan-Chenais) features of the lateral and some features of the medial medulla oblongata syndromes. |
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Authors:
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Michael Krasnianski; Tobias Müller; Karsten Stock; Stephan Zierz |
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Publication Detail:
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Type: Journal Article Date: 2006-06-14 |
Journal Detail:
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Title: Journal of neurology Volume: 253 ISSN: 0340-5354 ISO Abbreviation: J. Neurol. Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-12-12 Completed Date: 2007-09-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0423161 Medline TA: J Neurol Country: Germany |
Other Details:
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Languages: eng Pagination: 1442-6 Citation Subset: IM |
Affiliation:
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Klinik und Poliklinik für Neurologie, Martin-Luther-Universität, Halle-Wittenberg, Ernst-Grube Str 40, 06097, Halle, Saale, Germany. michael.krasnianski@medizin.uni-halle.de |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Brain / pathology* Cerebrovascular Disorders / pathology* Diagnosis, Differential Female Humans Lateral Medullary Syndrome / pathology* Magnetic Resonance Imaging Male Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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