Lateral medullary syndrome - Wallenberg syndrome

Case contributed by Mohammad A. ElBeialy
Diagnosis certain

Presentation

Acute onset of dysphagia, slurred speech, ataxia, facial pain and vertigo.

Patient Data

Age: 65 years
Gender: Male
  • acute infarctions of the right lateral and posterior medulla as well as the posterior inferior aspect of the right cerebellum along the territorial supply of the the posterior inferior cerebellar artery (PICA). incidentally noted is right maxillary sinus mucocele  as well as bilateral otomastoiditis.
  • mild atrophic brain changes with mild periventricular arteriosclerotic leukoencephalopathy and bilateral cerebral demyelinating foci; representing old lacunar infarcts. 

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