Document Detail


Sensory changes in the ipsilateral extremity. A clinical variant of lateral medullary infarction.
MedLine Citation:
PMID:  7570756     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Classically, patients with unilateral lateral medullary infarction exhibit sensory abnormalities over the ipsilateral face and contralateral hemibody. As a variant, bilateral or contralateral facial sensory changes can be seen. However, sensory changes in the ipsilateral extremities are extremely rare. CASE DESCRIPTIONS: We describe three patients with lateral medullary syndrome in whom impaired deep sensation in the ipsilateral limbs was found. MRI results showed that the infarcts were located superficially in the lateral (case 1) and dorsal (cases 2 and 3) areas of the lower medulla, which probably involved the ascending or crossing dorsal column sensory tracts. CONCLUSIONS: Although rare, impaired ipsilateral deep sensation is encountered in patients with lateral medullary infarction syndrome.
Authors:
J S Kim; J H Lee; M C Lee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  26     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-11-02     Completed Date:  1995-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1956-8     Citation Subset:  IM    
Affiliation:
Department of Neurology, University of Ulsan, Asan Medical Center, Seoul, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Ataxia / etiology
Cerebellar Diseases / complications
Cerebral Infarction / complications*
Extremities*
Face
Female
Humans
Male
Medulla Oblongata / pathology*
Middle Aged
Paresthesia / etiology
Sensation Disorders / etiology*
Vertebral Artery / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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