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KMID : 0371619990150020267
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Journal of Wonkwang Medical Science
1999 Volume.15 No. 2 p.267 ~ p.270
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Eye Pain as First Presenitng Symptom of Aute Lateral Medullary Infarction
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Suk Seung-Han
Son Il-Hong
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Abstract
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Spontaneous facial pain is diagnostic and is a cardinal feature of the lateral medullary infarction. Especially, pain is most often affected in or aroud eye. This symptom usually come on with the onset of lateral medullary infarction and is sometimes first symptom noted. This may be related to ipsilateral dysfunction of sensory neuron in the nucleus of the spinal tract of the trigeminal nerve and important to early detection and management of acute brainstem ischemia. However, this pain has usually recieved little emphasis in clinica1 situation. Therefore, we report three patients with lateral medullaty infarction, one complete, two partial involvement who were complained with severe eye pain as first presenting symptom, confirmed with MRI. Since patient with sudden onset of eye or facial pain may has acut brainstem lesions, it is very important that their presence should be diligently sought with high index of suspicion, especially in elderly patient with risk factors for stroke.
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KEYWORD
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Facial pain, Eye Pain, Lateral meduallary infarction, trigeninal nerve
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