The neurological findings gradually improved and the patient was discharged. Left vertebral angiograms obtained 36 days after the onset, showed the occlusion of the VA between the ramification of the PICA and the union of the VAs. Three-dimensional CT angiograms obtained 30 days after the onset, demonstrated the defect of the left VA between the ramification of the left PICA and the union of the VAs.
We strongly suspected that her initial symptom of left orbital pain was due to dissection of the VA itself. Although a PICA occlusion can be the cause of Wallenberg (lateral.
#WALLENBERG SYNDROME POWERPOINT PICA SYNDROME POWERPOINT PLUS#
The flow rate of the parent artery was decreased. The patient has the lateral medullary wedge syndrome plus ipsilateral hemiplegia. In the venous phase, retention of contrast medium in the VA and the PICA was observed. Left vertebral angiograms obtained 18 days after the onset, showed the segmental severe stenosis of the VA between the ramification of the posterior inferior cerebellar artery (PICA) and the union of the VAs. We carried out conservative treatment with antiplatelet & hemodilution therapies and the blood pressure control. MR images disclosed the infarcted lesion at the left lateral medulla depicted as high-intensity on T2-weighted & FLAIR images. The diagnosis of atypical Wallenberg's syndrome was based on the above findings. The diagnosis of Wallenb-erg syndrome was established by clinical mani-festations and medullary hemorrhage by comb-ination use of magnetic resonance imaging (MRI) with computed tomography (CT). Neurological examination at the time of the current admission, showed dysphagia, left soft palate palsy, hoarseness, left Horner syndrome, hypalgesia with thermohypesthesia on the right side of her face, however, hypalgesia with thermohypesthesia on the right side of her body. Wallenberg Syndrome is a neurological condition caused by a stroke in the vertebral or posterior inferior cerebella artery of the brain stem. Emergency CT scan disclosed no evidence of intracranial hemorrhage. A 52-year-old woman was admitted to our department because of a sudden onset of left orbital pain. We report here a case of atypical Wallenberg's syndrome due to spontaneous vertebral artery (VA) dissection.
0 kommentar(er)
