A case of lateral medullary syndrome with unilateral selective thermoanaesthesia
Abstract
A 42-year-old female was admitted to tertiary care teaching hospital with history of headache, vertigo, difficulty in swallowing both liquids and solids, vomiting, gait ataxia, drooping of left eyelid, inability to feel hot and cold on right side of body and diplopia of forty-fivedays’ duration. Clinical examination and neuroimaging were suggestive a posterior circulation stroke, with lateral medullary syndrome.The patient had selective thermoanaesthesia on the right side, including the face, which is an atypical finding, given the clinical setting.
Downloads
References
Lal V, Thussu A, Parihar PS, et al. Unusual manifestations of thalamic strokes. J Assoc Physicians India. 1998 Jun;46(6):559-61.
Paciaroni M, Bogousslavsky J. Pure sensory syndromes in thalamic stroke. Eur Neurol. 1998;39(4):211-7. DOI: https://doi.org/10.1159/000007936.
Schmahmann JD. Vascular syndromes of the thalamus. Stroke. 2003 Sep;34(9):2264-78. Epub 2003 Aug 21. DOI: https://doi.org/10.1161/01.STR.0000087786.38997.9E.
Alet, Matías J ; Pujol Lereis, Virginia ; Ameriso, Sebastián F And Lemme-Plaghos, Luis . Bulbar lateral cerebrovascular accident with extracranial trajectory of the posterior inferior cerebellar artery . Medicine (B. Aires) [online]. 2018, vol.78, n.5, pp.364-367. ISSN 0025-7680.
Jaimes A, Garcia-Saez R, Gutierrez-Viedma A, Cuadrado ML. Case report: Wallenberg's syndrome, a possible cause of symptomatic epicrania fugax. Cephalalgia. 2018;38(6):1203-6.doi: https://doi.org/10.1177%2F0333102417726334.
Malik MT, Kenton Iii EJ, Vanino D, Dalal SS, Zand R. Lateral Medullary Ischemic Infarct Caused by Posterior Inferior Cerebellar Artery Aneurysm. Case Rep Neurol. 2017;9(3):316-9.doi: https://doi.org/10.1159/000485121.
Kattah JC, Saber Tehrani AS, Roeber S, Gujrati M, Bach SE, Newman Toker DE, et al. Transient Vestibulopathy in Wallenberg's Syndrome: Pathologic Analysis. Front Neurol. 2017;8:191.doi: https://doi.org/10.3389/fneur.2017.00191.
Oks M, Li A, Makaryus M, Pomeranz HD, Sachdeva M, Pullman J, et al. Sarcoidosis presenting as Wallenberg syndrome and panuveitis. Respir Med Case Rep. 2018;24:16-8.doi: https://doi.org/10.1016/j.rmcr.2018.03.002
Sivakumar K, Garcha M, Mehta D, et al. Central Hypoventilation: A Rare Complication of Wallenberg Syndrome. Case Rep Neurol Med. 2018 Mar 21;2018:4894820. doi: https://doi.org/10.1155/2018/4894820. eCollection 2018.
Muhammad U, Jahngir MU, Qureshi AI. Dejerine Roussy Syndrome. StatPearls. Treasure Island (FL)2018.Bookshelf ID: NBK519047PMID: 30085589
Patel RA, Chandler JP, Jain S, Gopalakrishnan M, Sachdev S. Dejerine-Roussy syndrome from thalamic metastasis treated with stereotactic radiosurgery. J Clin Neurosci. 2017;44:227-8.doi: https://doi.org/10.1016/j.jocn.2017.06.025.
Ward M, Mammis A. Deep Brain Stimulation for the Treatment of Dejerine-Roussy Syndrome. Stereotact Funct Neurosurg. 2017;95(5):298-306. doi: https://doi.org/10.1159/000479526. Epub 2017 Aug 25.
Hankey GJ, Stewart-Wynne EG. Pseudo-multiple sclerosis: a clinico-epidemiological study. Clin Exp Neurol. 1987;24:11-9.
Bassetti C, Staikov IN. Hemiplegia vegetativa alterna (ipsilateral Horner's syndrome and contralateral hemihyperhidrosis) following proximal posterior cerebral artery occlusion. Stroke. 1995 Apr;26(4):702-4.
Arai M. Isolated thermoanesthesia associated with a midlateral medullary infarction. Neurology. 2002 Jun 11;58(11):1695.
Hiraga A, Sakakibara R, Mizobuchi K, Asahina M, Kuwabara S, Hayashi Y, et al. Putaminal hemorrhage disrupts thalamocortical projection to secondary somatosensory cortex: case report. J Neurol Sci. 2005 Apr 15;231(1-2):81-3.