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KMID : 0359719970150010200
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Journal of the Korean Neurological Association
1997 Volume.15 No. 1 p.200 ~ p.203
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A Case of Lateral Medullary Syndrome Presenting as Sensory-motor Stroke
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Jeong-Wook Park
Joung-Ho Rha/Beum-Saeng Kim
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Abstract
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Lateral medullary syndrome is famous for its unique symptom complex such as crossed sensory change or Homer syndrome, and thus hardly can be misdiagnosed. Though this syndrome has been reported to be able to accompany ipsilateral motor weakness, the sensory change of extremities is known to be almost always contralateral to the lesion. We recently experienced one case presented with weakness and dysmetria on the right associated with ipsilateral sensory change. But few days later, he showed additional neurologic signs compatible with right lateral medullary syndrome. Brain MRI showed rostro-caudally elongated lesion extending from right lateral medulla to the upper cervical cord. Here we suggest the probable neuroanatomical substrate for this symptom and clinico-radiologic relationship with previous literature.
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