[Bulbar hematoma of the olivary area. An analysis of the autonomic syndrome].
The consequences of an anterolateral medullary hematoma in a 50 year old patient are reported. The lesions principally involved the inferior olive nuclei, the lateral reticular nucleus, and, partially, the nucleus ambiguus. Long-lasting postural control deficit and hypotonia were observed, associated with alpha motoneurons hyperexcitability. Analysis of the heart rate regulation showed a severe reduction of the normal accelerating reactions and a relative preservation of slowing down reactions that suggested a deficit of the ortho-sympathetic control. Unilateral palsy of the tongue and pharynx was also observed without sensory or sensorial deficit. The long term course was favourable.
Rousseaux
M
M
Service des Convalescents, CHRU de Lille.
Caron
J
J
Hurtevent
J F
JF
Barbaste
P
P
Dupard
T
T
D001342:Autonomic Nervous System Diseases / Q000209:etiology*; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009847:Olivary Nucleus; D010243:Paralysis / Q000209:etiology; D011187:Posture; D013577:Syndrome; D014060:Tongue Diseases / Q000209:etiology
Hématome bulbaire dans la région olivaire. Analyse du syndrome autonome.