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Wallenberg's syndrome

Magnetic resonance (MR) scan was carried out and reported by a qualified radiologist as hyperintense lesions seen on T2 W and fluid attenuation inversion recovery sequences (FLAIR) involving the posterolateral aspect of left medulla with swelling of the left-half of the medulla, suggestive of infarc...

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Bibliographic Details
Published in:Journal of neurosciences in rural practice 2012-01, Vol.3 (1), p.100-102
Main Authors: Shetty, Shishir Ram, Anusha, Rl, Thomas, Priya Sara, Babu, Subhas G
Format: Article
Language:English
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Summary:Magnetic resonance (MR) scan was carried out and reported by a qualified radiologist as hyperintense lesions seen on T2 W and fluid attenuation inversion recovery sequences (FLAIR) involving the posterolateral aspect of left medulla with swelling of the left-half of the medulla, suggestive of infarct [Figure 1]a. Few focal T2 and FLAIR hyperintensities seen in the centrum semiovale of the left frontal and parietal lobes suggestive of ischemic changes [Figure 1]b. MR angiography revealed focal loss of flow void seen in the left vertebral artery just before the formation of the basilar artery and involving the left PICA origin, suggestive of thrombosis/occlusion [Figure 1]c. An emergency endodontic therapy was initiated with intravenous antibiotics. [3] A comprehensive study on patients with main clinical findings associated with swallowing dysfunction in patients with Wallenberg's syndrome revealed 85% of dysphonia, 30% difficulty in bolus control, 35% palatal paresis, 15% facial weakness, and 60% accumulation of saliva.
ISSN:0976-3147
0976-3155
DOI:10.4103/0976-3147.91980