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[Dysphagia] Lateral Medullary Syndrome - Wallenberg Syndrome
Hello All
just today I had a look in a german medical dissertation about the
Wallenberg syndrome. The whole work in german language is given:
http://edoc.ub.uni-muenchen.de/archive/00005036/01/Hoeling_Ralf.pdf.
These articels may help:
Aydogdu, I. et al. (2001) Dysphagia in lateral medullary infarction
(Wallenberg's syndro-
me): an acute disconnection syndrome in premotor neurons related to
swallowing acti-
vity? Stroke, 32, 2081-2087.
Dieterich, M. & Brandt, T. (1992) Wallenberg's syndrome: lateropulsion,
cyclorotation,
and subjective visual vertical in thirty-six patients. Ann Neurol, 31,
399-408.
H?rnsten, G. (1974) Wallenberg's syndrome. I. General symptomatology,
with special re-
ference to visual disturbances and imbalance. Acta Neurol Scand, 50,
434-446.
H?rnsten, G. (1974) Wallenberg's syndrome. II. Oculomotor and
oculostatic disturbances.
Acta Neurol Scand, 50, 447-468.
Huckabee, M.L. & Cannito, M.P. (1999) Outcomes of swallowing
rehabilitation in chronic
brainstem dysphagia: A retrospective evaluation. Dysphagia, 14, 93-109.
Kim, H. et al. (2000) Aspiration subsequent to a pure medullary
infarction: lesion sites,
clinical variables, and outcome. Arch Neurol, 57, 478-483.
Kim, J.S. et al. (1994) Spectrum of lateral medullary syndrome.
Correlation between cli-
nical findings and magnetic resonance imaging in 33 subjects. Stroke,
25, 1405-1410.
Kim, J.S. (2003) Pure lateral medullary infarction:
clinical-radiological correlation of 130
acute, consecutive patients. Brain, 126, 1864-1872.
Prosiegel, M. et al. (2005a) Swallowing therapy--a prospective study on
patients with
neurogenic dysphagia due to unilateral paresis of the vagal nerve,
Avellis' syndrome,
Wallenberg's syndrome, posterior fossa tumours and cerebellar
hemorrhage. Acta Neu-
rochir Suppl, 93, 35-37.
Prosiegel, M. et al. (2005b) The localization of central pattern
generators for swallowing
in humans--a clinical-anatomical study on patients with unilateral
paresis of the vagal
nerve, Avellis' syndrome, Wallenberg's syndrome, posterior fossa tumours
and cerebel-
lar hemorrhage. Acta Neurochir Suppl, 93, 85-88.
Sacco, R.L. et al. (1993) Wallenberg's lateral medullary syndrome.
Clinical-magnetic re-
sonance imaging correlations. Arch Neurol, 50, 609-614.
Best regards from Bielefeld (Germany),
Christiane
--
Christiane Borr
PhD-Student
Faculty of linguistics and literature
Department of clinical linguistics
Bielefeld University
Room: D4-127
Phone: +49-521-106-5277
http://wwwhomes.uni-bielefeld.de/cborr
Paula leslie schrieb:
> 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
>
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