Symptoms and Treatment of Wallenberg Syndrome - Oren Zarif - Wallenberg Syndrome
A thorough neurological examination is essential for the diagnosis of Wallenberg syndrome, which can have both acute and chronic manifestations. Patients who experience dysphagia in the acute phase of the disease often require nasogastric tube feeding and require assisted feeding. The clinical diagnosis of Wallenberg syndrome relies on the presence of crossed hemiparesis and involvement of structures of the posterolateral medulla. The severity of the symptoms will determine the appropriate treatment.
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Symptoms of Wallenberg syndrome may include numbness and/or pain in one side of the body. Patients may also experience drooping eyelids and reduced left eye pupil size. Patients may also report a sense of off-balance or an unsteady gait. Depending on the severity of the disease, the recovery time may last from six weeks to several months. In more serious cases, patients may experience permanent disabilities or require long-term care.
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Treatment for the symptoms of Wallenberg syndrome depends on the location and size of the infarcted portion of the brain stem. Early treatment can help improve a patient's quality of life. Early physical and occupational therapy can also help. But it's important to follow a doctor's recommendations for long-term care. This will help them avoid significant neurological disability for years to come. You can contact your doctor to learn more about treatment options for Wallenberg syndrome.
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In the majority of cases, Wallenberg Syndrome is a sign of atherothrombosis in the posterior inferior cerebellar artery. A blockage in this region causes infarction of the lateral medulla, which can lead to a range of severe impairments. Gaspard Vieusseux first described the condition in 1808. In 1895, Adolf Wallenberg described the lateral medulla oblongata as the infarcted area.
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A patient with Wallenberg syndrome also has associated motor weakness. MRI of the patient's brain revealed an infarcted portion extending to the ipsilateral pons, medulla, and cervical spinal cord. The patient's left lower extremity was affected by the most profound motor weakness. He underwent a series of tests in order to understand his symptoms. The best treatment options for patients with Wallenberg syndrome include early diagnosis and treatment.
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Although Wallenberg syndrome has a better overall prognosis than other acute ischemic strokes, the condition does have lingering difficulties. For example, gait instability may be the most persistent symptom. Early intervention with physical and occupational therapy is essential to a patient's post-stroke recovery. The severity of Wallenberg syndrome may depend on how much brain damage the patient had. While early intervention is key, there are several complications associated with the condition.
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The primary cause of Wallenberg syndrome is a vascular ischemia of the posterior inferior cerebellar artery. The infarcted artery has two branches, one on each side. One branch feeds the other and compensates for the other. If one branch is affected, the other suffers, and symptoms result. Therefore, provocation tests are often used to determine the cause of Wallenberg syndrome. A severely diminished flow in the posterior inferior cerebellar artery can lead to a lateral medullary infarction.
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Although the clinical manifestations of Horner's syndrome are similar, the underlying cause is still unknown. In the case of Adolf Wallenberg, his findings were amplified and he was able to localise the lesion through a detailed analysis of seven brains. Although this case report highlights the importance of careful anatomical assessment, it is unclear whether Horner's syndrome was the cause of his patient's cataract.
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Another possible cause of the dysphagia in WS is a hemispheric stroke. This stroke causes an imbalance in the activity of the motor neuron pool responsible for swallowing. The central pattern generator of deglutition can be affected, affecting sequential muscle activity in the oropharynx. As a result, swallowing is incoordinated and delayed. Moreover, the extent of the lesion may determine the severity of dysphagia in WS patients.
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