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KERD
논문KCI 등재

양측 소뇌실조 및 단독 상직근마비로 나타난 드문 중뇌증후군: 베르네킹크교련증후군

A Rare Midbrain Syndrome with Bilateral Cerebellar Ataxia and Isolated Superior Rectus Palsy: Wernekinck Commissure Syndrome

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초록

Wernekinck commissure syndrome is a rare midbrain syndrome, usually resulting in selective destruction of the decussation of the superior cerebellar peduncle. This syndrome can present with symptoms such as bilateral cerebellar ataxia, ophthalmoplegia, and palatal tremor. Here, we report a 61-year-old female with acute onset of bilateral cerebellar ataxia and isolated superior rectus palsy diagnosed on Wernekinck commissure syndrome confirmed by magnetic resonance imaging.

Abstract

Wernekinck commissure syndrome is a rare midbrain syndrome, usually resulting in selective destruction of the decussation of the superior cerebellar peduncle. This syndrome can present with symptoms such as bilateral cerebellar ataxia, ophthalmoplegia, and palatal tremor. Here, we report a 61-year-old female with acute onset of bilateral cerebellar ataxia and isolated superior rectus palsy diagnosed on Wernekinck commissure syndrome confirmed by magnetic resonance imaging.

참고문헌 (10)

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  3. Yang YZ, "Special type of Wernekink syndrome in midbrain infarction : four case reports", World J Clin Cases, 10, pp.4935~4941 (2022)
  4. Dong M, "Wernekink commissure syndrome secondary to a rare ‘V’-shaped pure midbrain infarction : a case report and review of the literature", Int J Neurosci, 130, pp.826~833 (2020)
  5. Kim JS, "Neuro-ophthalmologic findings in acute stroke", J Neurocrit Care, 3, pp.S96~S107 (2010)
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  7. Mossuto-Agatiello L, "Caudal paramedian midbrain syndrome", Neurology, 66, pp.1668~1671 (2006)
  8. Kwon JH, "Isolated superior rectus palsy due to contralateral midbrain infarction", Arch Neurol, 60, pp.1633~1635 (2003)
  9. Mullaguri N, "Wernekink commissure syndrome with palatal myoclonus at onset : a case report and review of the literature", J Med Case Rep, 12, pp.113~ (2018)
  10. Zou Z, "Can Wernekink commissure syndrome and wall-eyed bilateral internuclear ophthalmoplegia be ascribed to neuromyelitis optica spectrum disorder?", Neurol Sci, 38, pp.2053~2055 (2017)

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