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  • Writer's pictureOren Zarif

Symptoms and Treatment of Wallenberg Syndrome - Oren Zarif - Wallenberg Syndrome

Patients with Wallenberg syndrome may present with uncontrollable hiccups, loss of taste on one side of the tongue, and decreased strength on the left side of the body. Other symptoms may include decreased strength and sensation on the left leg, difficulty sitting upright, and leaning to the left. A thorough neurological examination can help determine if the syndrome is indeed due to a brain tumor. Although complete Wallenberg syndrome is rare, partial Wallenberg syndromes are typically satisfactory for diagnosis.

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Symptomatic treatment for Wallenberg syndrome focuses on reducing pain and improving quality of life. Speech therapy and swallowing therapy may be prescribed, and medication may be used to manage symptoms, such as a feeding tube. The prognosis of this condition depends on the location and size of the damaged part of the brain stem. However, patients with this disorder can expect to experience significant neurological disabilities for many years. Physiotherapy and speech therapy may also be needed.

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In many patients, speech therapy may help to alleviate the symptoms of Wallenberg syndrome. Speech therapy is a common treatment. Medication may be necessary, and the condition may improve within weeks or months. Despite its severity, it is important to seek appropriate treatment to ensure the best outcome. A patient with Wallenberg syndrome should undergo a complete neurological evaluation as soon as possible. Ultimately, the patient's recovery is dependent on treatment, but the long-term effects may be permanent.

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Acute bulbar artery dissection, vertebral artery disease, and cardiac embolism are all thought to be causes of the syndrome. Patients should be checked for a variety of risk factors, including hypertension, smoking, diabetes, and cerebellar artery dissection. In young patients, it's important to find out if they're at risk for the condition. This could prevent a patient from developing the condition, which can be potentially fatal.

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In Wallenberg's syndrome, the ipsilateral eye may be elevated above the contralateral eye. In addition to the elevation, the ipsilateral eye may exhibit disconjugate ocular torsion and excyclodeviation. Patients may also complain of diplopia or an unusual tilt of the head in the environment. It's important to note that these symptoms do not always lead to a diagnosis, but can be indicative of the syndrome.

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Other causes of Wallenberg Syndrome include atherothrombosis in the vertebral artery or atherothrombosis in the posterior inferior cerebellar artery. Patients with this disorder typically present symptoms in their sixth decade. As these symptoms progress, they may lead to permanent neurological damage. There is no cure for Wallenberg Syndrome, but it is possible to prevent it from progressing. With proper treatment, a person with this condition can live a full and active life without the symptoms.

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The overall prognosis of patients with Wallenberg syndrome is better than for other ischemic strokes. However, many patients have lingering problems with walking and balance. Treatment focuses on preventing the symptoms of stroke while regaining functional skills.

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Some antiemetics can be used to combat persistent nausea and other medications to lower the risk of stroke are prescribed. In addition, early occupational and physical therapy are crucial in preventing the symptoms of this syndrome from becoming permanent.

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The treatment of WS depends on the underlying cause of the condition. It can be treated with intravenous tissue-type plasminogen activator (TPA) in about four hours. Treatment also focuses on improving visual symptoms. Optical therapy may be recommended for patients with unresolved diplopia. The diagnosis and treatment of WS is based on the patient's needs. A proper diagnosis is the first step in the recovery of the patient.

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In addition to strokes, patients with WS may also present with dysphagia. The central pattern generator responsible for swallowing may not function properly after a stroke. As a result, sequential muscle activity along the oropharynx is significantly delayed. The severity of dysphagia in WS may depend on the extent of the lesion. Although most patients with WS improve their swallowing with treatment, the condition will often remain severe if left untreated.

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