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Síndrome de Opalski: Presentación atípica del síndrome medular lateral
Sounak Chabri1, Priyanka V Kashyap2
1Senior Resident, Department of Neurology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
The Journal of the Association of Physicians of India
|August 21, 2025
Resumen
El síndrome medular lateral, un accidente cerebrovascular raro, generalmente se presenta con pérdida sensorial y ataxia. Este caso pone de relieve la inusual aparición de hemiparesia, conocida como síndrome de Opalski, en los accidentes cerebrovasculares posteriores.
Área de la Ciencia:
- Neurología
- Medicina para el accidente cerebrovascular
- La neurociencia
Sus antecedentes:
- El síndrome medular lateral (SML), o síndrome de Wallenberg, es un accidente cerebrovascular poco común que afecta a la circulación posterior.
- Los síntomas clásicos de LMS incluyen déficits sensoriales espinotalamicos cruzados y ataxia ipsilateral.
- La hemiparesia es un hallazgo raro en la EML.
Objetivo del estudio:
- Para presentar un caso raro de síndrome medular lateral (LMS).
- Para discutir la asociación de la hemiparesia con el LMS, llamado síndrome de Opalski.
- Para hacer hincapié en la rareza de esta presentación posterior de la circulación.
Principales métodos:
- Presentación del informe del caso.
- Revisión de los hallazgos clínicos en el accidente cerebrovascular posterior.
- Discusión de los déficits neurológicos asociados con LMS.
Principales resultados:
- El caso presentaba un raro caso de síndrome medular lateral.
- Se observó hemiparesia junto con síntomas clásicos de EML.
- Esta presentación se alinea con la descripción del síndrome de Opalski.
Conclusiones:
- El síndrome de Opalski, LMS con hemiparesia, es un evento neurológico excepcionalmente raro.
- Comprender las presentaciones raras del accidente cerebrovascular como el síndrome de Opalski es crucial para un diagnóstico preciso.
- Este caso subraya las diversas manifestaciones clínicas de los accidentes cerebrovasculares posteriores.
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