Wallenberg Syndrome - Oren Zarif - Wallenberg Syndrome
The prognosis of Wallenberg syndrome depends on the location and size of the affected brain stem. Symptoms usually improve after several weeks or months, but if the brain stem damage is severe, patients can suffer significant neurological disabilities for life.
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Physiotherapy is an important component of the rehabilitation process, and the same techniques used for stroke rehabilitation are also effective for this syndrome. A good physical therapist can help patients overcome the many limitations associated with this disorder.
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While the exact cause of Wallenberg syndrome remains a mystery, studies have shown that it is often the result of a stroke. The diagnosis of this syndrome is based on a combination of clinical examination and medication. Earlier intervention is critical, as the syndrome often progresses slowly. However, if it is suspected in an early phase, physical therapy and occupational therapy are important. While gait instability is a common sequelae of Wallenberg syndrome, early physical therapy can help prevent further complications.
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In the final paper written by Wallenberg in 1922, he described the fifteenth patient with the syndrome. He concluded that the disease was a lateral medullary syndrome and that an underlying deficit was the most likely cause. In 1946, Denise Louis-Bar published a comprehensive study on the condition and etymologizes the term "Wallenberg syndrome."
Patients with Wallenberg syndrome may also suffer from a number of related disorders.
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These disorders include stroke, dizziness, hoarseness, and balance problems. Because of the underlying cause, the American Heart Association has a comprehensive program to treat, prevent, and reduce the incidence of strokes. To learn more about Wallenberg syndrome, visit the National Institutes of Health. The National Institutes of Health conducts research on the nervous system.
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A diagnosis of Wallenberg syndrome can be difficult. There are many possible causes of the syndrome, but the three most common are atherosclerotic occlusion of the posterior inferior cerebellar artery. Other causes include embolism and dissection. An interesting and unusual finding from a clinical-radiology study of patients with this syndrome shows that vertebral artery disease is the most common cause, giving branches to the anterior spinal artery and posterior inferior cerebellar artery. Other risk factors include smoking and hypertension. It is also important to evaluate young patients for the possibility of vertebral artery dissection.
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A patient with Wallenberg syndrome may also show signs of hypotonia in the ipsilateral arm. To demonstrate this condition, the patient should raise and lower both arms while simultaneously demonstrating hypotonia in the symptomatic arm. The symptomatic arm will overshoot the braking phase compared to the other arm. The symptoms may also be accompanied by a decreased left arm or leg strength. Finally, patients with Wallenberg syndrome may have difficulty swallowing or may lean toward the left side.
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Despite a better overall prognosis for patients with this condition than for other types of acute ischemic stroke, the effects of this disorder are still significant. Gait instability is one of the most common sequelas. Early physical and occupational therapy are essential for recovery. These patients are often able to return to full oral feeding within a few months of their stroke. So, if you're suffering from Wallenberg syndrome, don't delay your stroke recovery.
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Moreover, LMI has been found to result in a unilateral lesion in people with WS, and this lesion may also affect swallowing. LMI seems to affect premotor neurons in the nucleus ambiguus, which disrupt the link between two swallowing centers - the NA and NTS. Moreover, some studies suggest that the remaining intact premotor neurons may be responsible for the dysphagia seen in patients with WS.
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Swallowing is a complex process that requires a combination of muscle activity and neuromuscular control. The central pattern generator responsible for swallowing cannot operate properly during the onset of the stroke. As a result, sequential muscle activity along the oropharynx is severely delayed. The duration and severity of the dysphagia in WS depends on the extent of the lesion. Currently, there is no definitive cure for WS.
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