지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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A 70-year-old man presented with acute dysarthria and dizziness. He denied any history of trauma or cervical manipulations within several weeks before symptom onset. We could make a presumptive diagnosis of left Wallenberg syndrome through the results of neurologic examination, which include left limb ataxia, alternating hyp(o)esthesia, spontaneous nystagmus to right side, and left side Honer’s syndrome. Initial diffusion weighted imaging performed at admission showed small and discrete high signal lesions in left lateral medulla, left cerebellar hemisphere, and bilateral occipital areas. Contrast enhanced MRA demonstrated a fi lling defect in long segment of distal left vertebral artery. On 4th days after symptom onset, the patient developed a severe form of ipsilateral hemiparesis. Follow-up brain MRI showed a downward extension of the initial ischemic lesion in upper medulla to upper cervical region. This case suggests that a severe form of ipsilateral hemiparesis may be complicated in the clinical setting of acute lateral medullary infarction with vertebral artery occlusion. (Korean J Stroke 2011;13:137-139)
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참고문헌 (7)
참고문헌 신청
Cheng MY / 2005 / Opalski syndrome / Acta Neurol Taiwan 14 : 162 ~ 163
Garcia-Garcia J / 2009 / Lateral medullary syndrome and ipsilateral hemiplegia (Opalski syndrome) due to left vertebral artery dissection / Arch Neurol 66 : 1574 ~ 1575
Hermann DM / 2009 / Lateral medullary infarct with alternating and dissociated sensorimotor defi cits: Opalski’s syndrome revisited / Eur J Neurol 16 : e72 ~ e74
Kim HY / 2006 / Opalski’s syndrome with cerebellar infarction / J Clin Neurol 2 : 276 ~ 278
Kim JS / 2001 / Sensory symptoms in ipsilateral limbs/body due to lateral medullary infarction / Neurology 57 : 1230 ~ 1234
Garcia-Garcia J / 2009 / Lateral medullary syndrome and ipsilateral hemiplegia (Opalski syndrome) due to left vertebral artery dissection / Arch Neurol 66 : 1574 ~ 1575
Hermann DM / 2009 / Lateral medullary infarct with alternating and dissociated sensorimotor defi cits: Opalski’s syndrome revisited / Eur J Neurol 16 : e72 ~ e74
Kim HY / 2006 / Opalski’s syndrome with cerebellar infarction / J Clin Neurol 2 : 276 ~ 278
Kim JS / 2001 / Sensory symptoms in ipsilateral limbs/body due to lateral medullary infarction / Neurology 57 : 1230 ~ 1234
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