Lateral Medullary Syndrome - Wallenberg's Syndrome Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior Cerebellar Artery occlusion) Clinical Findings: • Nausea/vomiting/vertigo/nystagmus - Vestibular nucleus (CN 8) • Ageusia - Solitary nucleus/tract • Ipsilateral ataxia - Inferior cerebellar peduncle • Ipsilateral facial numbness - Trigeminal nucleus (CN 5) / tract • Ipsilateral Horner's Syndrome - Sympathetic pathway • Contralateral loss of pain/temperature - Spinothalamic tract • Palatal myoclonus - Central tegmental tract • Hoarseness/dysphagia - Nucleus ambiguus (CN 9, 10) By Dr. Gabriela Figueiredo Pucci @gabifpucci @neudrawlogy #Lateral #Medullary #Syndrome #Wallenbergs #neurology #diagnosis
