Roldán-Valadez Ernesto, Juárez-Jiménez Humberto, Corona-Cedillo Roberto, Martínez-López Manuel
Unidade de Resonancia Magnética, Fundación Clínica Médica Sur, Deleg. Tlalpan, México, DF, México.
Gac Med Mex. 2007 Sep-Oct;143(5):429-32.
Wallenberg's syndrome is one of the most common clinically recognized conditions due to brain stem infarct, which can nowadays be identified by modern neuro-imaging techniques. We describe a patient complaining of miosis, dysphonia, and dysphagia followed by ataxia. An MRI evaluation was performed including diffusion-weighted imaging, apparent diffusion coefficient, T2-weighted images, fluid attenuated inversion recovery (FLAIR) and perfusion. A brief discussion of imaging findings is presented as well as a clinical correlation of the symptoms with the anatomic location of the lesion. This case report emphasizes the importance of imaging findings and their clinical correlation with neurological examination.
延髓背外侧综合征是脑干梗死最常见的临床确诊病症之一,如今可通过现代神经成像技术进行识别。我们描述了一名患者,其主诉为瞳孔缩小、发音困难、吞咽困难,随后出现共济失调。进行了MRI评估,包括弥散加权成像、表观扩散系数、T2加权图像、液体衰减反转恢复序列(FLAIR)和灌注成像。本文简要讨论了影像学表现以及症状与病变解剖位置的临床相关性。该病例报告强调了影像学表现及其与神经学检查的临床相关性的重要性。