Disease Information for Lateral medullary syndrome

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Clinical Manifestations
Signs & Symptoms
Decreased sweating/facial unilateral
Dysphagia Swallowing Difficulties
Hypotonia
Ataxia
Clumsiness/poor coordination
Dizziness/Dizzy
Dysarthria
Hemianesthesia
Hemisensory defects
Loss pain/temperature sense/light touch preserved
Nystagmus
Slow speech
Staggering Gait
Unable to tandem walk/straight line
Vertigo
Difficulty Talking
Narrow pupil/unilateral
Unilateral narrow pupil
True Vertigo Sign Confirmed
Clinical Presentation & Variations
Presentation/Horners Contralateral loss Pain Temperature
Associated Diseases & Rule outs
Associated Disease & Complications
Horner's syndrome
Lateral medullary syndrome
Progressive Bulbar palsy
Ataxia Disorder
Cervical Sympathetics Lesion
Disease Mechanism & Classification
Class
CLASS/Brain stem involvement/disorder (ex)
CLASS/Neurologic (category)
Pathophysiology
Pathophysiology/Specific neuromuscular incoordination
Process
PROCESS/Arteriosclerosis/vascular/venous (category)
PROCESS/Structural/anatomic/foreign body (category)
PROCESS/Vegetative-Autonomic/Endocrine (category)
Synonyms
Synonym
Dorsolateral Medullary Syndrome, Inferior cerebellar artery syndrome, LATERAL BULBAR SYNDROME, Lateral Medullary Syndrome, Lateral Medullary Syndromes, LMS Lateral medullary syndr, LMS Lateral medullary syndrome, Medullary Syndrome Dorsolateral, Posterior Inferior Cerebellar Artery Syndrome, Posterior inferior cerebellar artery syndrome (disorder), Syndrome Vieseaux Wallenberg, Syndrome Wallenberg, Syndromes Lateral Medullary, Vieseaux Wallenberg Syndrome, VIEUSSEUX WALLENBERG SYNDROME, Wallenberg syndrome, Wallenbergs Syndrome, Wallenberg's Syndrome, Synonym/Lateral bulbar syndrome, Synonym/Posterior-inferior cerebellar artery syndrome, Synonym/Vieusseux-Wallenberg syndrome, Synonym/Wallenberg's syndrome
Definition

Infarction of the dorsolateral aspect of the medulla due to occlusion of the vertebral artery and/or the posterior inferior cerebellar artery; Clinical manifestations vary with the size of infarction, but may include loss of pain and temperature sensation in the ipsilateral face and contralateral body below the chin; ipsilateral HORNER SYNDROME; ipsilateral ATAXIA; DYSARTHRIA; VERTIGO; nausea, hiccup; dysphagia; and VOCAL CORD PARALYSIS---(From Adams et al, Principles of Neurology, 6th ed, p801)---------

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External Links Related to Lateral medullary syndrome
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NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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