Causes and Symptoms of Wallenberg Syndrome - Oren Zarif - Wallenberg Syndrome
There are many possible causes of Wallenberg syndrome. However, no single factor has been identified as the root cause. Some researchers have linked cardiac embolism, artery dissection, and vertebral artery disease to the condition. Minor trauma to the neck is another possible cause. Although most cases are relatively rare, young people should be evaluated for the condition. A postmortem is necessary to determine the exact location of the lesion. In addition to these factors, genetics, smoking, and obesity are considered risk factors.
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If the diagnosis is made at an early stage, the patient is often able to resume their usual lifestyle and pursue other activities. Rapid evaluation is essential to maximize the chances of a successful outcome. The goal of treatment is to minimize the size of the infarction, reduce complications, and restore the patient's ability to function. Early physical and occupational therapy are important for the patient's recovery. Patients may experience gait instability. While treatment for Wallenberg syndrome is generally not life-threatening, it may require several years of therapy to fully recover.
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In an acute phase of Wallenberg syndrome, patients with dysphagia may need a nasogastric tube for feeding. However, a good recovery is possible with an isolated lateral medulla infarction. This is due to a mechanism involved in the unaffected side of the medulla. The patient's recovery will depend on the extent of the underlying disease. The most common cause of dysphagia in patients with Wallenberg syndrome is lateral medullary infarction.
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A case of Wallenberg syndrome is a rare type of neurological disorder with a number of symptoms. Some patients experience intractable hiccups or a loss of taste on one side. Patients may also experience a lopsided world that causes walking difficulties. It is best to have a doctor examine the patient to rule out other possible causes of the disorder. A careful neurological examination will help identify the underlying cause and determine the proper treatment.
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A patient with Wallenberg syndrome may have symptoms of ischemia (a blood clot in the brain stem). They may experience difficulty swallowing, hoarseness, dizziness, or nausea. Symptoms may improve within a few weeks or months, but long-term neurological problems may arise. However, treatment for Wallenberg syndrome may include medication and speech therapy. If left untreated, symptoms may persist. The symptoms can be disabling.
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In a case of Wallenberg syndrome, the vertebral artery in the posterior inferior cerebellar artery is blocked. The resulting stroke in the lateral medulla results in various impairments. Gaspard Vieusseux first described the condition in 1808, and Adolf Wallenberg published a detailed description of the disorder in 1895. In the same year, he also published a detailed description of the lateral medulla oblongata.
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A patient with Wallenberg syndrome may experience a lingering problem in walking or balance. While the overall prognosis of Wallenberg syndrome is much better than for other ischemic stroke syndromes, the disease may have long-term consequences. The most common post-stroke complications of Wallenberg syndrome include gait instability, ataxia, and hiccups. Early physical and occupational therapy are crucial to ensure a full recovery.
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A patient with Wallenberg syndrome may benefit from speech and swallowing therapy. VitalStim is a specialized form of neuromuscular electrical stimulation. It is administered by a speech and language pathologist or occupational therapist. If the patient is incontinent, VitalStim is often administered to correct the imbalance. While these measures may be helpful in some cases, they may not be appropriate for every case. It is important to recognize the cause of Wallenberg syndrome to avoid making the condition worse.
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One study found that LMI caused a unilateral lesion in WS. It affected the premotor neurons in the nucleus ambiguus, which interfered with their linkage to other cranial motor neuron pools involved in swallowing. Moreover, patients with WS had impaired oropharyngeal function and a delayed laryngeal elevation compared to non-suffocating controls. The remaining premotor neurons may have redirected the dysphagia to the contralateral nucleus ambiguus.
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