Opalski syndrome
Citation, DOI, disclosures and article data
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 recorded disclosures.
View Rohit Sharma's current disclosures- Opalski's syndrome
Opalski syndrome is a very rare brainstem stroke syndrome similar to Babinski-Nageotte syndrome, however, the medullary lesion extends beyond decussation of the corticospinal tracts into the upper cervical cord.
On this page:
Clinical presentation
Opalski syndrome is considered to be a spreading of the “Wallenbergian” lateral lesion caudally to the corticospinal tracts after their decussation, resulting in the lateral medullary syndrome with ipsilateral hemiparesis/hemiplegia 1-4. The pattern of weakness differentiates it from Babinski-Nageotte syndrome whereby the lesion is limited to before decussation, and thus there is contralateral hemiparesis/hemiplegia instead 1.
Pathology
Opalski syndrome is extremely rare, however most case reports detail ischemic stroke as the cause 1-4.
Radiographic features
Lesions are in medulla with imaging characteristics depending on underlying cause 1-4.
ADVERTISEMENT: Supporters see fewer/no ads
History and etymology
The syndrome was first described by Adam Opalski (1897-1963), a Polish physician, in 1946 5,6.
References
- 1. Pandey S, Batla A. Opalski's syndrome: A rare variant of lateral medullary syndrome. (2013) Journal of neurosciences in rural practice. 4 (1): 102-4. doi:10.4103/0976-3147.105642 - Pubmed
- 2. Dhamoon SK, Iqbal J, Collins GH. Ipsilateral hemiplegia and the Wallenberg syndrome. (1984) Archives of neurology. doi:10.1001/archneur.1984.04050140077029 - Pubmed
- 3. Nakamura S, Kitami M, Furukawa Y. Opalski syndrome. (2010) Neurology. 75 (18): 1658. doi:10.1212/WNL.0b013e3181fb4479 - Pubmed
- 4. Kimura Y, Hashimoto H, Tagaya M, Abe Y, Etani H. Ipsilateral hemiplegia in a lateral medullary infarct--Opalski's syndrome. (2003) Journal of neuroimaging : official journal of the American Society of Neuroimaging. doi:10.1111/j.1552-6569.2003.tb00162.x - Pubmed
- 5. Opalski A. A new sub-bulbar syndrome: partial syndrome of the posterior vertebro-spinal artery. Paris Med. 1946;1946:214–220.
- 6. Rytel L, Lech P, Szymanska K, Gonkowski S. Adam Opalski (1897-1963). (2018) Journal of neurology. 265 (7): 1730-1731. doi:10.1007/s00415-017-8704-8 - Pubmed
Incoming Links
Related articles: Stroke and intracranial haemorrhage
-
stroke and intracranial hemorrhage
- general articles
-
ischemic stroke
- general discussions
- scoring and classification systems
- Alberta stroke program early CT score (ASPECTS)
- ASCOD classification
- Canadian Neurological Scale
- Heidelberg bleeding classification
- NIH Stroke Scale
- Mathew stroke scale
- modified Rankin scale
- Orgogozo Stroke Scale
- Scandinavian Stroke Scale
- thrombolysis in cerebral infarction (TICI) scale
- TOAST classification
- collateral vessel scores
- signs
- by region
- hemispheric infarcts
- frontal lobe infarct
- parietal lobe infarct
- temporal lobe infarct
- occipital lobe infarct
- alexia without agraphia syndrome: PCA
- cortical blindness syndrome (Anton syndrome): top of basilar or bilateral PCA
- Balint syndrome: bilateral PCA
- lacunar infarct
-
thalamic infarct
- artery of Percheron infarct
- Déjerine-Roussy syndrome (thalamic pain syndrome): thalamoperforators of PCA
- top of the basilar syndrome
- striatocapsular infarct
- choroid plexus infarct
- cerebellar infarct
-
brainstem infarct
- midbrain infarct
- Benedikt syndrome: PCA
- Claude syndrome: PCA
- Nothnagel syndrome: PCA
- Weber syndrome: PCA
- Wernekink commissure syndrome
- pontine infarct
- Brissaud-Sicard syndrome
- facial colliculus syndrome
- Gasperini syndrome: basilar artery or AICA
- inferior medial pontine syndrome (Foville syndrome): basilar artery
- lateral pontine syndrome (Marie-Foix syndrome): basilar artery or AICA
- locked-in syndrome: basilar artery
- Millard-Gubler syndrome: basilar artery
- Raymond syndrome: basilar artery
- medullary infarct
- Babinski-Nageotte syndrome
- Cestan-Chenais syndrome
- hemimedullary syndrome (Reinhold syndrome)
- lateral medullary stroke syndrome (Wallenberg syndrome)
- medial medullary syndrome (Déjerine syndrome)
- Opalski syndrome
- midbrain infarct
- acute spinal cord ischemia syndrome
- hemispheric infarcts
- by vascular territory
- by vessel size
- treatment options
- complications
-
intracranial hemorrhage
-
intra-axial hemorrhage
- signs and formulas
- ABC/2 (volume estimation)
- black hole sign
- blend sign
- cashew nut sign
- CTA spot sign
- island sign
- satellite sign
- swirl sign
- zebra sign
- by type
- by location
- signs and formulas
- extra-axial hemorrhage
- extradural hemorrhage (EDH)
- intralaminar dural hemorrhage
- subdural hemorrhage (SDH)
-
subarachnoid hemorrhage (SAH)
- types
- complications
- grading systems
- subpial hemorrhage
-
intra-axial hemorrhage
Unable to process the form. Check for errors and try again.
