2 research outputs found
Interesting Case of Opalski Syndrome a Variant of Lateral Medullary Syndrome
ABSTRACT Lateral medullary (or Wallenberg's) syndrome is characterized by vertigo, diplopia, dysarthria, Horner`s syndrome, numbness (ipsilateral face and contralateral limb) and traditionally it is not associated with any limb weakness. Localization in this syndrome is easy because of characteristic presentation, exclusive blood supply and very small area of involvement. In our case patient had features of lateral medullary syndrome with ipsilateral hemiparesis .In Opalski syndrome hemiplegia is ipsilateral due to the extension of the infarct caudally to involve the corticospinal fibers after the pyramidal decussation. Opalski syndrome is a rare variant of Wallenberg's syndrome with ipsilateral hemiparesis. It should not be diagnosed in the absence of hyperreflexia or Babinski sign. Excessive alcohol intake may play a role in the etiopathogenesis of posterior circulation stroke