El-Herte Rima, Atweh Samir
Department of lnternal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
J Med Liban. 2011 Apr-Jun;59(2):109-13.
We present a case of partial Wallenberg syndrome also called partial lateral medullary syndrome, a hemorrhagic or ischemic stroke of the area fed by the posterior inferior cerebellar artery and the clinical manifestation depends on the extension of the lesion: dorsal-ventral, medial-lateral and rostrocaudal. Five types have been described. Our patient had headache, hoarseness, right upper extremity, right hemithorax and right upper gluteal hypothermalgesia implicating the involvement of the cervical, the thoracic and part of lumbar fibers of the left lateral spinothalamic tract and the ambiguous nucleus; an entity not described before. The imaging done to our patient disclosed the dissection of the left vertebral artery. He was treated with anticoagulation with gradual improvement in his symptoms.
我们报告一例部分性延髓背外侧综合征，也称为部分性外侧延髓综合征，这是一种由小脑后下动脉供血区域的出血性或缺血性卒中，其临床表现取决于病变范围：背腹向、内外侧和头尾向。已描述了五种类型。我们的患者出现头痛、声音嘶哑、右上肢、右半胸和右臀上部感觉减退，提示左侧脊髓丘脑侧束的颈段、胸段及部分腰段纤维和疑核受累；这是一种此前未描述过的情况。对我们的患者进行的影像学检查显示左椎动脉夹层形成。他接受了抗凝治疗，症状逐渐改善。
