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Babinski-Nageotte syndrome: a case report
1Department of Neurology, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|October 1, 1993
Summary
A 68-year-old man experienced Wallenberg's syndrome and hypoglossal nerve palsy, diagnosed as Babinski-Nageotte syndrome. Magnetic resonance imaging confirmed a left medullary infarct as the cause.
Area of Science:
- Neurology
- Neuroscience
- Vascular Neurology
Background:
- Wallenberg's syndrome involves lateral medullary syndrome.
- Babinski-Nageotte syndrome combines medial and lateral medullary syndromes.
- Medullary syndromes result from vascular insults.
Observation:
- A 68-year-old male presented with acute left Wallenberg's syndrome.
- Additional symptoms included left hypoglossal nerve palsy and contralateral hemiparesis (face spared).
- This clinical presentation aligns with Babinski-Nageotte syndrome.
Findings:
- Magnetic resonance imaging (MRI) provided in vivo confirmation of the vascular insult.
- The MRI clearly demonstrated an infarct area in the left half of the medulla oblongata.
- This confirms a stroke as the etiology of the observed neurological deficits.
Implications:
- This case highlights the diagnostic utility of MRI in medullary stroke.
- Understanding Babinski-Nageotte syndrome aids in localizing brainstem lesions.
- Accurate diagnosis is crucial for targeted stroke management and rehabilitation.