Fine margin between crossed sensory and contralateral sensory loss: A case report. (October 2018)

• Record Type: Journal Article
• Authors: Pang, Yee Hau; Lim, Shih Hui
• Is Part Of: Journal of clinical neuroscience. Volume 56(2018)
• Page Start: 188
• Page End: 191
• Publication Date: 2018-10
• Subjects: Infarction -- Lateral medullary syndrome -- Hypoaesthesia; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2018.06.007
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Sensory abnormality is common in patients with lateral medullary infarct (LMI). The pattern of sensory dysfunction is diverse. Traditional typical LMI produces ipsilateral facial and contralateral limbs numbness. A contralateral hemisensory loss may present in lateral medullary infarct. Abstract: The well-known sensory deficit in lateral medullary syndrome (LMS) involves crossed ipsilateral trigeminal area and contralateral spinothalamic tract area. A 45 year old man was admitted for sudden onset slurring of speech, unsteadiness and sensory complaints. The diagnosis was right lateral medullary syndrome due to right Vertebral Artery occlusion. In addition to typical lateral medullary syndromes, his sensory deficit involved contralateral half of the face, trunk and limbs. We report this atypical sensory presentation and discuss its neuroanatomical correlation.