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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.
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.
- 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