Which of the following are clinical features of medial medullary syndrome?
A. Ipsilateral numbness of arm and trunk
B. Horners syndrome
C. Ipsilateral 12th cranial nerve palsy
D. Contralateral pyramidal tract sign
B. Horners syndrome
C. Ipsilateral 12th cranial nerve palsy
D. Contralateral pyramidal tract sign
Answer is C and D.
Medial medullary syndrome is due to the infarction of the pyramid causing contralateral hemiparesis of the arm and leg, sparing the face. This syndrome is rare.
If the medial lemniscus and emerging hypoglossal nerve fibers are involved, contralateral loss of joint position sense and ipsilateral tongue weakness occur.
If the medial lemniscus and emerging hypoglossal nerve fibers are involved, contralateral loss of joint position sense and ipsilateral tongue weakness occur.
Source: Harrison.
Does this syndrome have any other name?
Yes, it is also known as Dejerine's syndrome
Mnemonic: MD - Medical medullary syndrome is Dejerines syndrome
You can also remember the popular spice in India "MDH"
Mnemonic: MD - Medical medullary syndrome is Dejerines syndrome
You can also remember the popular spice in India "MDH"
H stands for Hemiparesis and Hypoglossal involvement.
That's all!
-IkaN
That's all!
-IkaN
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Hi, would like to clarify the statement written "A and B are features of lateral medullary syndrome". The loss of pain & temperature sensation for trunk and limbs should be contralateral instead of ipsilateral.
ReplyDeleteOh thanks for the correction!:)
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