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KMID : 1123920020160061291
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Korean Journal of Oriental Physiology and Pathology
2002 Volume.16 No. 6 p.1291 ~ p.1296
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Case Reports about Brainstem Infarction -Dejerine′s syndrome and Wallenburg′s syndrome-
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Cho Gwon-Il
Han Myoung-Ah
Lee Ji-Yeon
Choi Jin-Young
Kim Dong-Woung
Jung Dae-Young
Kim Kwan-Sik
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Abstract
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Blood circulation of brain is divided into two major categories; anterior one from carotid artery and posterior one from vertebrobasilar artery. In stroke patients, it is important to diagnose which is involved, because there is many difference in the aspects of clinical menifestations and prognosis, especially in the acute stage. In some cases of vertebrobasilar infarction, such as Wallenberg’s syndrome, charicteristic cranial nerve signs, eye movement disorders and cerebellar signs are appeared. And in Dejerine’s syndrome, only pure motor or sensory defecits can be appeared without any brainstem signs. So It shoud be differenciated by Brain MRI from those of the cerebral hemisphere lesions. And in the cases that nausea, vomitting and dysphagia are the first menifestations, it is frequently misdiagnosed as internal medical disease, causing appropriate treatment delayed. In this case report, we are to describe the clinical menifestations and progresses of two cases of brainstem infarctions, review previously published case reports about them and compare them to our cases. The first is Dejerine’s syndrome i.e. medial medullary infarction, the second is Wallenberg’s syndrome i.e. lateral medullary infarction. Simultaneously we are to investigate the oriental medical approach in the bran stem infarctions.
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KEYWORD
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Dejerine′s syndrome, Wallenberg′s syndrome, brainstem infarction
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