Alfaraj Dunya, Alhamoud Mohammed A, Alotaibi Faleh M
Emergency Department, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Emergency Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.
Cureus. 2022 May 12;14(5):e24934. doi: 10.7759/cureus.24934. eCollection 2022 May.
Lateral medullary syndrome (LMS), also known as Wallenberg syndrome, is a cerebrovascular event following ischemia of the lateral part of the medulla oblongata. Some of its etiologies include atherosclerotic changes, hypertension, thromboembolism, vertebral artery dissection (VAD), and aneurysm. We present a case of a 45-year-old male with LMS with a gradual onset of atypical symptoms of LMS, which has led to a late diagnosis of our patient. VAD is a commonly recognized cause of stroke in young people and it is a more frequent cause of LMS than posterior inferior cerebellar artery diseases. This case highlights the importance of early identification of signs and symptoms and that appropriate investigation should take place to optimize patient life quality and prognosis.
延髓外侧综合征（LMS），也称为瓦伦贝格综合征，是延髓外侧缺血后的脑血管事件。其病因包括动脉粥样硬化改变、高血压、血栓栓塞、椎动脉夹层（VAD）和动脉瘤。我们报告一例45岁男性延髓外侧综合征患者，其LMS非典型症状逐渐出现，导致患者诊断延迟。VAD是年轻人中风的常见公认病因，也是导致LMS比小脑后下动脉疾病更常见的病因。该病例强调了早期识别体征和症状的重要性，以及应进行适当检查以优化患者生活质量和预后。
