Variants of Avellis Syndrome Due to Medulla Oblongata Infarction A Case Series
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Lippincott Williams & Wilkins
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: Avellis syndrome is classically defined as a neurological disorder characterized by paralysis of the soft palate and vocal cords on one side, and a loss of sensation of pain and temperature sense on the other side. Between 2010 and 2020, 5400 patients with ischemic stroke were admitted to the Stroke Unit and prospectively entered in our Stroke Registry. Case Report: A total of 216 patients with magnetic resonance imaging-proven ischemic lesions restricted to the medulla oblongata were identified. Among them, 5 patients had Avellis syndrome with a small medullary infarction. There was paralysis of the soft palate and vocal cords in all patients, but besides of loss of pain sensation and temperature sense, there were also partial disturbances in position and vibration senses in 3 patients. Different types of neuro-ophthalmologic findings were observed in 4 patients. In 5 patients, the cause of medulla oblongata infarct was microscopic polyangiitis vasculitis, neuro-Behcet disease, vertebral artery dissection, small vessel disease, and neurobrucellosis small vessel vasculitis. Conclusions: Avellis syndrome may present with additional neurological findings besides its classic definition. Apart from atherosclerotic disease, rare causes should be investigated in detail in small ischemic medullary lesions.
Açıklama
Anahtar Kelimeler
avellis syndrome, nucleus ambiguus, dysphagia, dysphonia, medulla oblongata, Posterior-Fossa Tumors, Wallenbergs-Syndrome, Unilateral Paresis, Vagal Nerve, Dysphagia
Kaynak
Neurologist
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
26
Sayı
5
