Lateral medullary (Wallenberg) syndrome

Case contributed by Tariq Walizai
Diagnosis almost certain

Presentation

The patient presented with cerebellar ataxia, loss of sensation to pain and warm/cold water on the left side for 7 days.

Patient Data

Age: 55 years
Gender: Male

A small altered signals intensity area is noted involving the right half of medulla oblongata, the returning signals are iso to hypointense on T1, hyperintense on T2 and T2 FLAIR, however, DWI is not available in this case.

The rest of the brain appears unremarkable.

Case Discussion

The clinical presentation and findings of the current study are more in favor of lateral medullary syndrome as described above.

Co-contributor Dr, Anwar-ul-Haq Zadran.

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