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논문KCI 등재

가쪽쏠림보행만으로 발현된 외측 연수경색

Isolated Axial Lateropulsion in Lateral Medullary Infarction

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초록

The Wallenberg’s syndrome is produced by infarction of lateral medulla. Isolated ipsilateral axial lateropulsion withoutother common symptoms of Wallenberg syndrome has rarely been reported as manifestation of lateral medullaryinfarction. The responsible anatomical structure of ipsilateral axial lateropulsion is still uncertain. We describe a patientwith lateral medullary infarction who present with isolated ipsilateral axial lateropulsion without other symptoms ofWallenberg syndrome.

Abstract

The Wallenberg’s syndrome is produced by infarction of lateral medulla. Isolated ipsilateral axial lateropulsion withoutother common symptoms of Wallenberg syndrome has rarely been reported as manifestation of lateral medullaryinfarction. The responsible anatomical structure of ipsilateral axial lateropulsion is still uncertain. We describe a patientwith lateral medullary infarction who present with isolated ipsilateral axial lateropulsion without other symptoms ofWallenberg syndrome.

참고문헌 (8)

  1. Song IU, "Catastrophic respira-tory failure associated with unilateral PICA infarction involving lateral medullary region", J Korean Geriatr Soc, 10, pp.146~149 (2006)
  2. Nowak DA, "The clinical variability of Wallenberg's syn-drome: The anatomical correlate of ipsilateral axial lateropulsion", J Neuol, 253, pp.507~511 (2006)
  3. Dieterich M, "Wallenberg’s syndrome: lateropulsion, cyclo-rotation, and subjective visual vertical in thirty-six patients", Ann Neurol, 31, pp.399~408 (1992)
  4. Ropper AH, "Adam’s and Victor’s prin-ciples of neurology", pp.100~108 (2005), McGraw-Hill
  5. Thömke F, "A topodiagnostic investigation of body lateropulsion in medullary infarcts", Neurology, 64, pp.716~718 (2005)
  6. Kim SH, "Isolated lat-eropulsion by a lesion of the dorsal spinocerebellar tract", Cerebrovasc Dis, 18, pp.344~345 (2004)
  7. 김현정, "Ipsilateral Axial Lateropulsion as an Initial Symptom of Lateral Medullary Infarction", Journal of Clinical Neurology, 3(4), pp.197~199 (2007), 대한신경과학회
  8. 최재환, "외측연수경색증에 의한 고립성 체측방돌진", Research in Vestibular Science, 12(1), pp.31~34 (2013), 대한평형의학회

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