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KMID : 0978920120130040237
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Korean Journal of Clinical Geriatrics
2012 Volume.13 No. 4 p.237 ~ p.240
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Dorsolateral Medullary Infarction Associated with Orthostatic Hypotension
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Lee Jin-Hyung
Jeon Byung-Jun
Kim Meyung-Kug
Yoo Bong-Goo
Chung Eun-Joo
Kim Sang-Jin
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Abstract
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A 57-year-old male had sudden onset of vertigo, burning sensation of the right face, and right hemiparesis. His symptoms sustained for two hours. On admission, hemiparesis and burning sensation were disappeared. But, he complained of non-spinning dizziness that was aggravated by standing. Neurological examination revealed normal except ataxic gait. In tilt-table test, blood pressure was 129/65 mmHg in supine position and 105/60 mmHg in standing position after 3 minutes. Brain MRI showed a small acute right dorsolateral medullary infarction. He was treated with clopidogrel 75 mg per day. After 8 days, his postural dizziness had improved. Orthostatic hypotension is uncommon manifestation of acute dorsolateral medullary infarction.
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KEYWORD
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Orthostatic hypotension, Medulla oblongata, Brainstem infarction
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