Lateral medullary syndrome

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

7-day history of left sided numbness, hiccoughs, difficulty in speech and vertigo.

Patient Data

Age: 45 years
Gender: Male
mri
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T2
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial
SWI
This study is a stack
Axial
T1
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Info

Subacute infarct is seen in left lateral aspect of medulla showing mild diffusion restriction.

Gliotic area seen in right occipital lobe.

Chronic lacunar infarcts seen involving splenium of corpus callosum and bilateral cerebellar hemispheres.

Case Discussion

Subacute infarct in left lateral aspect of medulla showing mild diffusion restriction. This is responsible for the patient's symptoms, constituting the lateral medullary syndrome.

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