A case of lateral medullary syndrome presenting as sensory -motor stroke

J Korean Neurol Assoc > Volume 15(1); 1997 > Article

Journal of the Korean Neurological Association 1997;15(1): 200-203.

Sensory-motor stroke으로 발현한 Lateral medullary syndrome 1례

박정욱, 나정호, 김범생

가톨릭대학교 의대 신경과

A case of lateral medullary syndrome presenting as sensory -motor stroke

Jeong-Wook Park, M.D., Joung-Ho Rha, M.D., Beum-Saeng Kim, M.D.

Department of Neurology, Catholic University Medical College

Abstract

Lateral medullary syndrome is famous for its unique symptom complex such as crossed sensory change or Homer syndrome, and thus hardly can be misdiagnosed. Though this syndrome has been reported to be able to accompany ipsilateral motor weakness, the sensory change of extremities is known to be almost always contralateral to the lesion. We recently experienced one case presented with weakness and dysmetria on the right associated with ipsilateral sensory change. But few days later, he showed additional neurologic signs compatible with right lateral medullary syndrome. Brain MRI showed rostro-caudally elongated lesion extending from right lateral medulla to the upper cervical cord. Here we suggest the probable neuroanatomical substrate for this symptom and clinico-radiologic relationship with previous literature.