[Dysphagia] Lateral Medullary Syndrome - Wallenberg Syndrome

[Paula.Leslie at newcastle.ac.uk (Paula leslie)]

Hello All

A colleague has just asked me about Wallenberg syndrome.  She has a pt with 
the following info.  I'm having problems searching the archives at the moment, 
but I know this has come up before.

We're most interested in prognosis and intervention (evidence based would be 
nice - dream on...)

Any ideas welcome.

Thanks

Paula



70-year-old male
Diagnosis via MRI:  Subacute R dorso-lateral medullary infarct secondary to an
occluded right intradural vertebral artery (aka Wallenberg Syndrome)
VFSS:	Absent swallow response, frank penetration and aspiration all
trials, cough response initiated, no change with manoeuvres
Rec:	NBM, continue NG, likely PEG (for various other reasons not stated
here)
Therapy:	?...Thermal-Tactile Stimulation, wait and reassess?
Prognosis:	?...wait and see?

Paula Leslie
Degree Programme Director
RCSLT Specialist Advisor in Dysphagia

Surgical and Reproductive Sciences
Faculty of Medical Sciences
University of Newcastle
Newcastle upon Tyne
NE2 4HH
UK
+44 (0) 191 222 6279(T)/8988(F)
http://www.ncl.ac.uk/sars/postgrad/MSc.htm