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Opalski Syndrome: An Intricate Case of Lateral Medullary Infarction With Unconventional Neurological Features and
Vaibhav1, Rohit Sharma2, Aditya Duhan3
1Department of Neurology, Pt. Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, IND.
Abstract:
Opalski syndrome is a rare variant of Wallenberg syndrome characterized by ipsilateral hemiparesis. We present a case involving a 50-year-old male who exhibited symptoms of right-sided upper and lower limb weakness, dizziness, and ataxia. T2-weighted magnetic resonance imaging (MRI) identified an infarction in the right lateral medulla. This case displayed several unique and atypical features, including the negative Babinski sign, absence of dysphagia, and dysarthria. The diagnosis was confirmed through meticulous clinical examination and advanced radiological investigations, such as MRI. This case report underscores the critical importance of thorough clinical evaluation and the correlation of findings with radiological investigations to reduce morbidity and mortality in patients with Opalski syndrome.
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