It is identified by ipsilateral tongue weakness, ipsilateral tongue deviation and contralateral motor weakness. Lateral medullary syndrome is commonly due to PICA or vertebral artery occlusion. [lecturio.com]

However, both the muscle weakness and wasting gradually progressed. [synapse.koreamed.org]

Onset is also generally at an early age, and a more diffuse distribution of weakness occurs. [emedicine.medscape.com]

[…] lateral medullary segment Inferior cerebellar peduncle: mainly concerned with proprioception, integration and co-ordination of motor tasks, following tracts traverse the inferior cerebellar peduncle: Tract Function Dorsal spinocerebellar tract Conveys unconscious [lecturio.com]

[…] beschriebenen Falle. Arch Psych Nervenheilkd. 1901; 34 923-959 12 Mumenthaler M, Mattle H. Neurologie. 11. Auflage. Stuttgart: Thieme 2002 13 Tettenborn B. Klinische Symptome und hinterer Kreislauf. [thieme-connect.com]

Trigemino-thalamic tract from spinal nucleus of trigeminal nerve Loss of pain and temperature sensation from ipsilateral half of the face Nucleus ambiguus and solitary nucleus Lower cranial nerve dysfunction-hoarse voice, nasal twang and dysphonia, dysphagia [lecturio.com]

A 68-year-old woman suddenly developed vertigo, ipsilateral facial paresis, contralateral thermal hypoalgesia (TH) and dysphagia without lateral gaze palsy, curtain sign and hoarseness. [academic.oup.com]

Patients with lower cranial nerve weakness in lateral medullary syndrome are prone to aspiration pneumonia. They might benefit from Ryle’s tube feeds or diverted feeding techniques like gastrostomy. [lecturio.com]

CPD may have led to severe dysphagia and aspiration [ 16 ]. Symptoms of CPD can range from a globus sensation to oropharyngeal dysphagia manifested by regurgitation, coughing choking and recurrent aspiration [ 17 ]. [academic.oup.com]

Patients with lower cranial nerve weakness in lateral medullary syndrome are prone to aspiration pneumonia. They might benefit from Ryle’s tube feeds or diverted feeding techniques like gastrostomy. [lecturio.com]

Transcranial magnetic stimulation is given in repetition to rehabilitate patients having dysphagia due to Wallenberg syndrome. Patients with lower cranial nerve weakness in lateral medullary syndrome are prone to aspiration pneumonia. [lecturio.com]

Finally, her dysphagia regressed over 4 weeks in synchronization with recovery of TH. [academic.oup.com]

Dysphagia in unilateral medullary infarction: lateral vs medial lesions. Neurology 2005 ; 65 : 714 –718. 17. Calne DB, Pallis CA. Vibratory sense: a critical review. Brain 1966 ; 89 : 723 –746. 18. Kim JS. [cambridge.org]

Scleroderma, polymyositis, and dermatomyositis: Differentiation from scleroderma, polymyositis, and dermatomyositis may be made by their clinical courses, which are often characterized by more rapid progression, involvement of skin and neck muscles, and dysphagia [emedicine.medscape.com]

[…] spinal nucleus of trigeminal nerve Loss of pain and temperature sensation from ipsilateral half of the face Nucleus ambiguus and solitary nucleus Lower cranial nerve dysfunction-hoarse voice, nasal twang and dysphonia, dysphagia, decreased gustation weak gag [lecturio.com]

Gag reflex was preserved. The tone of her voice was the same as it was before these symptoms developed. Magnetic resonance (MR) imaging showed a small infarction at the MPMJ (Fig. 1 E and F). [academic.oup.com]

[…] nucleus of trigeminal nerve Loss of pain and temperature sensation from ipsilateral half of the face Nucleus ambiguus and solitary nucleus Lower cranial nerve dysfunction-hoarse voice, nasal twang and dysphonia, dysphagia, decreased gustation weak gag, regurgitation [lecturio.com]

Symptoms of CPD can range from a globus sensation to oropharyngeal dysphagia manifested by regurgitation, coughing choking and recurrent aspiration [ 17 ]. [academic.oup.com]

Symptoms and Diagnosis of Medullary Syndrome Frequently being acute ischemic events, brain stem strokes are characterized by vomiting, vertigo, diplopia, headache, ataxia, hiccups and dysarthria. [lecturio.com]

Symptoms and Diagnosis of Medullary Syndrome Frequently being acute ischemic events, brain stem strokes are characterized by vomiting, vertigo, diplopia, headache, ataxia, hiccups and dysarthria. [lecturio.com]

Symptoms and Diagnosis of Medullary Syndrome Frequently being acute ischemic events, brain stem strokes are characterized by vomiting, vertigo, diplopia, headache, ataxia, hiccups and dysarthria. [lecturio.com]

She complained of no diplopia. Curtain sign of the soft palate, as well as vocal cord paresis, was absent. Gag reflex was preserved. The tone of her voice was the same as it was before these symptoms developed. [academic.oup.com]

vision Disbalanced sitting posture Horizontal or roatational nystagmus Loss of sensation of pain and temperature of half of the face Loss of sensation of pain and temperature of contralateral half of the trunk Hoarseness, Diplopia Dysphagia Hiccups Dysphonia [lecturio.com]

HINTS (head- impulsive-nystagmus- test of skew) is a three –step oculomotor examination that can determine the presence of infarction in lateral medulla. Imaging studies are often the preliminary investigations performed. [lecturio.com]

The neural impulse or inappropriate conductivity to or from the central nervous system may indirectly affect healthy peripheral striated muscular system [ 15 ]. This may be the same for the muscles involved in hyolaryngeal elevation [ 15 ]. [academic.oup.com]

Tract involved in lateral medullary syndrome Manifestation Inferior cerebellar peduncle Ipsilateral ataxia, ipsilateral appendiceal cerebellar signs as dysmetria, intentional tremors Vestibular nuclei Vomiting, vertigo, nystagmus, diplopia. [lecturio.com]

signs) [ 5 ], Dajuren (hypoglossal nerve palsy and contralateral hemiparesis) [ 6 ], Reinhold (ipsilateral hypoglossal nerve palsy, contralateral hemiparesis sparing the face and Wallenberg’s syndrome) [ 7, 8 ], Babinski-Nageotte syndrome (contralateral [academic.oup.com]

A physical examination revealed right peripheral type facial paresis and left-beating nystagmus, despite no paresis nor ataxia of extremities. Horner’s syndrome was not detected. [academic.oup.com]

Facial paresis, though rare, can be seen due to involvement of few aberrant descending fibers. It can causes ailments of many systems like vestibule-cerebellar, bulbar, sensory, respiratory or autonomic systems. [lecturio.com]

Horner’s syndrome, ipsilateral ataxia and ipsilateral hyperalgesia of the face Ipsilateral ataxia, contralateral Horner’s syndrome and ipsilateral hyperalgesia of the body. [lecturio.com]

In the 1930s Lewis and Hardy conducted experimental work to explain the underlying mechanisms of hyperalgesia and hyperesthesia ( Lewis 1936 ; Hardy et al 1950 ). [medlink.com]

Symptoms and Diagnosis of Medullary Syndrome Frequently being acute ischemic events, brain stem strokes are characterized by vomiting, vertigo, diplopia, headache, ataxia, hiccups and dysarthria. [lecturio.com]

Vascular vertigo is known to usually accompany other neurologic symptoms and signs [ 2 ]. Appropriate bedside evaluation is superior to MRIs for detecting central vascular vertigo syndromes [ 1 ]. [academic.oup.com]

Tract involved in lateral medullary syndrome Manifestation Inferior cerebellar peduncle Ipsilateral ataxia, ipsilateral appendiceal cerebellar signs as dysmetria, intentional tremors Vestibular nuclei Vomiting, vertigo, nystagmus, diplopia. [lecturio.com]