Document Detail


The medullary vascular syndromes revisited.
MedLine Citation:
PMID:  7798117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are two major vascular syndromes of the medulla oblongata: the medial and the lateral. The medial medullary syndrome is characterized by the triad of ipsilateral hypoglossal nerve palsy with contralateral hemiparesis and loss of deep sensation. Lateral medullary infarction commonly presents with Horner's syndrome, ataxia, alternating thermoanalgesia, nystagmus, vertigo and hoarseness. Combinations of the two major syndromes occur as bilateral medial medullary, hemimedullary and bilateral lateral medullary syndromes. Each of these syndromes frequently manifests with incomplete or atypical findings depending on the extent of the lesion. Magnetic resonance imaging has been useful in the clinical diagnosis of medullary infarctions. The site of the lesion may help predict the arteries involved.
Authors:
R Gan; A Noronha
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurology     Volume:  242     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-08-03     Completed Date:  1995-08-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  195-202     Citation Subset:  IM    
Affiliation:
Department of Neurology, University of Chicago, IL 60637, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Brain Stem / blood supply*
Cerebral Infarction / complications*,  diagnosis
Hemiplegia*
Humans
Hypoglossal Nerve*
Magnetic Resonance Imaging
Male
Medulla Oblongata / blood supply*
Middle Aged
Paralysis*
Sensation Disorders*
Syndrome

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


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