Castillo Aurora Loaeza-Del, Barahona-Garrido Josué, Criales Sergio, Chang-Menéndez Sergio, Torre Aldo
Department of Medicine, Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán', Mexico City, Mexico.
Case Rep Gastroenterol. 2007 Nov 9;1(1):135-43. doi: 10.1159/000110871.
A 56-year-old man presented with sudden-onset oropharyngeal dysphagia and vomiting of central etiology. Neurological evaluation showed uvula deviation to the left, paresis of the mid-right portion of the soft palate, lateralization of gaze to the right side, and dysphonia. Magnetic resonance imaging (MRI) showed an infarction in the left lateral medullary region, therefore the diagnosis of Wallenberg's syndrome was established. The neurological issues along with the dysphagia gradually improved and the patient was discharged.
一名56岁男性因中枢性病因突发口咽吞咽困难和呕吐前来就诊。神经学评估显示悬雍垂偏向左侧、软腭右侧中部麻痹、眼球向右凝视偏斜以及发音障碍。磁共振成像(MRI)显示左侧延髓外侧区域梗死,因此确诊为延髓背外侧综合征。神经问题及吞咽困难逐渐改善,患者出院。