Lateral medullary syndrome

Case contributed by Saad Ahmed Saad Hassan
Diagnosis certain

Presentation

Presented with ataxia, dysarthria, left arm weakness, facial droop and high blood pressure ?posterior circulation stroke

Patient Data

Age: 60 years
Gender: Male
mri

There is a small focus of restricted diffusion involving the left posterolateral aspect of the medulla.  There is a corresponding high signal intensity on both T2 and FLAIR images.
The intracranial portion of the right vertebral artery is not visualized.

Case Discussion

Findings are consistent with left lateral medullary syndrome.

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