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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Published on: September 19, 2019

Wallenberg's syndrome with proximal quadriparesis.

Chau-Nee Chen¹, Gim-Thean Khor, Chun-Hung Chen

¹Division of Neurology, Department of Internal Medicine, Yuan's General Hospital, Kaohsiung Medical University, Kaohsiung Medical, Kaohsiung, Taiwan.

The Neurologist

|December 31, 2010

Summary

This study reports a rare case of Wallenberg's syndrome with proximal quadriparesis, a variant not previously documented. The patient experienced significant recovery, highlighting the importance of the corticoreticulospinal tracts for limb function.

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Area of Science:

Neurology
Neuroscience
Stroke Medicine

Background:

Wallenberg's syndrome, a brainstem stroke variant, typically affects lateral medullary structures.
Proximal quadriparesis is an unusual presentation not previously reported in Wallenberg's syndrome.

Observation:

A 25-year-old woman presented with acute vertigo, dysphagia, facial numbness, hoarseness, and proximal quadriparesis.
MRI revealed a right posterolateral medullary infarction with medial extension, sparing the pyramidal tracts.

Findings:

The patient's proximal quadriparesis was attributed to involvement of the right medial medullary reticular formation.
This supports the hypothesis of bilateral innervation of proximal limbs via corticoreticulospinal tracts in humans.

Implications:

The rapid recovery of proximal quadriparesis underscores the critical role of a functional pyramidal tract in post-stroke recovery.
This case expands the known clinical spectrum of Wallenberg's syndrome and its neurological underpinnings.