Babinski-Nageotte syndrome
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At the time the article was created Rohit Sharma had no recorded disclosures.
View Rohit Sharma's current disclosuresAt the time the article was last revised Rohit Sharma had no financial relationships to ineligible companies to disclose.
View Rohit Sharma's current disclosuresBabinski-Nageotte syndrome is thought to be a brainstem stroke syndrome in between that of the hemimedullary syndrome (Reinhold syndrome) and the lateral medullary syndrome (Wallenberg syndrome), but distinct to that of Cestan-Chenais syndrome 1,2.
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Terminology
In many texts this eponymous syndrome is incorrectly used synonymously with hemimedullary syndrome which, although related, is a clinically distinct syndrome 1,2,4.
Clinical presentation
Babinski-Nageotte syndrome is considered to be an intermediolateral medullary syndrome, representing spreading of the “Wallenbergian” lateral lesion to the corticospinal pathway resulting in the lateral medullary syndrome with contralateral hemiparesis/hemiplegia 1,2.
Pathology
Babinski-Nageotte syndrome is usually caused by an ischaemic stroke, often due to occlusion of intracranial portion of the vertebral artery, followed by PICA and its branches 1,2.
Radiographic features
Lesions are in medulla with imaging characteristics depending on underlying cause.
History and etymology
The syndrome was first described by Joseph Babinski (1858-1932) and Jean Nageotte (1866-1948), French physicians, in 1902 3.
References
- 1. Krasnianski M, Müller T, Stock K, Zierz S. Between Wallenberg syndrome and hemimedullary lesion: Cestan-Chenais and Babinski-Nageotte syndromes in medullary infarctions. Journal of neurology. 253 (11): 1442-6. doi:10.1007/s00415-006-0231-3 - Pubmed
- 2. Ropper AH, Samuels MA, Klein JP. Adams and Victor's principles of neurology 10th ed. New York: McGraw-Hill Medical Pub. Division; 2014.
- 3. Babinski J, Nageotte J. Hemiasynergie, lateropulsion et myosis bulbaires avec hemianesthesie et hemiplegie croisees. Rev Neurol (Paris). 1902;10:358-65.
- 4. Krasnianski M, Neudecker S, Schluter A, Zierz S. Babinski-Nageotte's syndrome and Hemimedullary (Reinhold's) syndrome are clinically and morphologically distinct conditions. (2003) Journal of neurology. 250 (8): 938-42. doi:10.1007/s00415-003-1118-9 - Pubmed
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