V茅rtigo agudo pseudoperif茅rico y s铆ndrome de Wallenberg
- 作者：Iñ ; aki Ayerbe Zabaleta ; inakiayerbe@terra.es ; Michel Negrevergne ; Iñ ; igo Ucelay Vicinay ; Michele Catherine
- 关键词：Cefalea ; Ataxia ; Lesió ; n bulbar lateral
- 刊名：Acta Otorrinolaringol贸gica Espa帽ola
- 出版年：2010
- 期刊代码：pca34_00016519
- 类别：med
- 出版时间：July-August 2010
- 卷：61
- 期：4
- 页码：312-314
- 文件大小：252 K
摘要
We report an atypical Wallenberg syndrome presented with an acute vertigo, preceded by headache, simulating a peripheral vestibular pathology. The first Magnetic Resonance Imaging (MRI) study done in urgencies is negative. Presence of headache, strong lateral ataxia and secondary focally neurological symptoms 48 h after the beginning of the crises, lead to a repetition of the MRI which shows a right lateral bulbar infarct. We focus on the semiological elements that can guide us to a lateral bulbar pathology in patients with pseudoperypheric symptoms (axial latero-pulsion, ocular laterodeviation, posterior headache, oculographic test, etc.).