| Opalski syndrome detected on DWI MRI: A rare lateral medullary infarction. Case report and review. | |
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MedLine Citation:
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PMID: 21087784 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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INTRODUCTION: Wallenberg's syndrome and ipsilateral paresis due to combined infarction of the lateral medullary and cervical spinal infarction is known as Opalski syndrome. This rarely described syndrome was reported, to our knowledge, with DWI MRI, only once. CASE REPORT: We report the case of a 43-year-old man with autosomal dominant polycystic kidney disease who, after a brief episode of coma, developed Wallenberg syndrome and ipsilateral hemiparesis. Initial diffusion weighted-imaging MRI showed a high-intensity signal involving the lateral medulla oblongata and the spinal cord; but FLAIR MRI sequences showed bilateral high-intensity signals in the lateral medulla oblongata and spinal cord and high-intensity signals in the right and left cerebellar hemisphere in the PICA territories. MRI performed one year later showed an infarction involving the left medullary area and adjacent spinal segments alone. CONCLUSION: This observation illustrates a rare syndrome of lateral medullary infarction, associated with spinal cord infarction related to a possible transient basilar occlusion. |
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Authors:
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O Bailon; P-Y Garcia; M Logak; S Timsit |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-11-16 |
Journal Detail:
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Title: Revue neurologique Volume: - ISSN: 0035-3787 ISO Abbreviation: Rev. Neurol. (Paris) Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2984779R Medline TA: Rev Neurol (Paris) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2010 Elsevier Masson SAS. All rights reserved. |
Affiliation:
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Service de neurologie, hôpital Avicenne, AP-HP, 125, route de Stalingrad, 93009 Bobigny, France; UFR de santé, médecine et biologie humaine Léonard de Vinci, université Paris 13, 74, rue Marcel-Cachin, 93017 Bobigny, France. |
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