An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate

The clinical features of lateral medullary syndrome include ipsilateral decreased pain and temperature sensation over face, Horner′s syndrome, gait ataxia, vertigo with nausea and vomiting and reduction of pain and temperature of contra lateral half of body (6). At times, there is also a...

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Main Authors: Srinivasan M, Bindu B, Gobinathan S, Balasubramanian S, Nithyanandam A, Shanbhogue K R
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2005-01-01
Series:Annals of Indian Academy of Neurology
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2005;volume=8;issue=1;spage=37;epage=40;aulast=Srinivasan;type=0
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spelling doaj-61d324e5e35441b394af02e20fbc4e102020-11-24T23:00:19ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492005-01-01813740An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical PostulateSrinivasan MBindu BGobinathan SBalasubramanian SNithyanandam AShanbhogue K RThe clinical features of lateral medullary syndrome include ipsilateral decreased pain and temperature sensation over face, Horner′s syndrome, gait ataxia, vertigo with nausea and vomiting and reduction of pain and temperature of contra lateral half of body (6). At times, there is also an ipsilateral facial weakness due to ischemia of the caudal part of the 7the nerve nucleus just rostral to the nucleus ambiguus (11). Rarely an ipsilateral upper motor neuron (UMN) facial weakness may be present and the same may be explained by the interruption of the hypothetical looping supranuclear corticofacial fibres which are said to ascend up in the dorsolateral medulla to reach the 7th nerve nucleus from below (8, 9, 10). A single case report is presented here in support of the above neuroanatomical postulate.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2005;volume=8;issue=1;spage=37;epage=40;aulast=Srinivasan;type=0
collection DOAJ
language English
format Article
sources DOAJ
author Srinivasan M
Bindu B
Gobinathan S
Balasubramanian S
Nithyanandam A
Shanbhogue K R
spellingShingle Srinivasan M
Bindu B
Gobinathan S
Balasubramanian S
Nithyanandam A
Shanbhogue K R
An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate
Annals of Indian Academy of Neurology
author_facet Srinivasan M
Bindu B
Gobinathan S
Balasubramanian S
Nithyanandam A
Shanbhogue K R
author_sort Srinivasan M
title An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate
title_short An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate
title_full An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate
title_fullStr An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate
title_full_unstemmed An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate
title_sort unusual presentation of lateral medullary syndrome with ipsilateral umn facial palsy - an anatomical postulate
publisher Wolters Kluwer Medknow Publications
series Annals of Indian Academy of Neurology
issn 0972-2327
1998-3549
publishDate 2005-01-01
description The clinical features of lateral medullary syndrome include ipsilateral decreased pain and temperature sensation over face, Horner′s syndrome, gait ataxia, vertigo with nausea and vomiting and reduction of pain and temperature of contra lateral half of body (6). At times, there is also an ipsilateral facial weakness due to ischemia of the caudal part of the 7the nerve nucleus just rostral to the nucleus ambiguus (11). Rarely an ipsilateral upper motor neuron (UMN) facial weakness may be present and the same may be explained by the interruption of the hypothetical looping supranuclear corticofacial fibres which are said to ascend up in the dorsolateral medulla to reach the 7th nerve nucleus from below (8, 9, 10). A single case report is presented here in support of the above neuroanatomical postulate.
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2005;volume=8;issue=1;spage=37;epage=40;aulast=Srinivasan;type=0
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