Description

Adolf Wallenberg described the syndrome that bears his name. It is one of the more common syndromes associated with disorders of the posterior circulation.


Brain affected: lateral segment of the medulla posterior to the inferior olivary nucleus

 

Affected vessel: posterior inferior cerebellar artery (PICA)

 

General signs and symptoms:

(1) vertigo

(2) nystagmus

(3) diplopia

(4) facial ruddiness

(5) dry facial skin

(6) dysphonia

(7) dysphagia

(8) dysarthria/hoarseness

 

Ipsilateral signs and symptoms:

(1) ipsilateral Horner syndrome

(2) ipsilateral loss of gag reflex

(3) ipsilateral ataxia

(4) ipsilateral impaired taste

(5) ipsilateral facial pain

(6) ipsilateral facial paresthesia

(7) decreased ipsilateral blink reflex

(8) ipsilateral facial hypoalgesia

(9) ipsilateral facial thermoanesthesia

 

Contralateral signs and symptoms:

(1) contralateral hypoalgesia in the trunk and limbs

(2) contralateral thermoanesthesia in the trunk and limbs


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