Document Detail

Neurotrophic keratopathy due to dorsolateral medullary infarction (Wallenberg Syndrome): case report and literature review.
MedLine Citation:
PMID:  25472780     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Dorsolateral medullary infarction (Wallenberg Syndrome) is rare in clinical practice; however, the subsequent corneal lesions are more uncommon. To our knowledge, only one such case was previously reported. We report a similar case with successful treatment and recovery, and analyse both cases to address the clinical features and outcomes of such syndrome.
CASE PRESENTATION: A 43-year-old male presented with neurotrophic keratopathy one month after sustaining dorsolateral medullary infarction. The patient underwent amniotic membrane transplantation twice. Two-year follow-up observation revealed changes in nerve fibers and epithelial cells of corneal by laser confocal microscopy.
CONCLUSION: By studying both cases, we confirm that neurotrophic keratopathy could be as a delayed-onset complication of Wallenberg syndrome. The recognition that neurotrophic keratopathy can follow dorsolateral medullary infarction could prevent the clinical misdiagnosis.
Songdi Wu; Ningning Li; Feng Xia; Kastytis Sidlauskas; Xuemei Lin; Yihua Qian; Wei Gao; Qinlu Zhang
Publication Detail:
Type:  Journal Article     Date:  2014-12-04
Journal Detail:
Title:  BMC neurology     Volume:  14     ISSN:  1471-2377     ISO Abbreviation:  BMC Neurol     Publication Date:  2014  
Date Detail:
Created Date:  2014-12-08     Completed Date:  -     Revised Date:  2014-12-08    
Medline Journal Info:
Nlm Unique ID:  100968555     Medline TA:  BMC Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  231     Citation Subset:  IM    
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