Babinski-Nageotte syndrome

Last revised by Rohit Sharma on 22 Jan 2023

Babinski-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

In many texts this eponymous syndrome is incorrectly used synonymously with hemimedullary syndrome which, although related, is a clinically distinct syndrome 1,2,4.

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.

Babinski-Nageotte syndrome is usually caused by an ischemic stroke, often due to occlusion of intracranial portion of the vertebral artery, followed by PICA and its branches 1,2.

Lesions are in medulla with imaging characteristics depending on underlying cause.

The syndrome was first described by Joseph Babinski (1858-1932) and Jean Nageotte (1866-1948), French physicians, in 1902 3.

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