Tuesday, February 19, 2008

Lateral Medullary Syndrome



Acute infarct on the lateral aspect of medulla with extension into the superior cerebellar peduncle.
Lateral medullary syndrome (also called Wallenberg's syndrome and posterior inferior cerebellar artery syndrome) is a disease in which the patient has difficulty with swallowing or speaking or both owing to one or more patches of dead tissue (known as an infarct) caused by interrupted blood supply. It is the clinical manifestation resulting from occlusion of the posterior inferior cerebellar artery (PICA) or one of its branches or of the vertebral artery, in which the lateral part of the medulla oblongata infarcts, resulting in a typical pattern.
In contrast Medial medullary syndrome (also known as Dejerine syndrome) is a set of clinical features resulting from an infarction in the brainstem. The vessel usually involved is the anterior spinal artery which supplies the medial part of the medulla oblongata.

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