[Trigeminotrophic ulceration of the ala nasi in Wallenberg syndrome].
A patient developed a trophic ulceration of the nose after an acute bulbar ischemia with infarction of the right trigeminal nuclei. Neurologic examination showed symptoms of a Wallenberg syndrome including ipsilateral hyp- and paresthesia of the second trigeminal branch and disturbed sensibility and temperature sense on the contralateral half of the body. The right ala nasi showed the characteristic sickle-shaped defect (ulcération en arc). The differential diagnosis and therapeutic approaches are discussed.
Schommer
M
M
Dermatologische Klinik und Poliklinik, Medizinischen Hochschule Hannover.
Weiss
J
J
Kiehl
P
P
Kapp
A
A
Prawitz
R H
RH
Brodersen
J P
JP
D000368:Aged; D020526:Brain Stem Infarctions / Q000175:diagnosis*; D004292:Dominance, Cerebral; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D009666:Nose / Q000294:innervation* / Q000473:pathology; D009668:Nose Diseases / Q000175:diagnosis* / Q000473:pathology; D012867:Skin / Q000473:pathology; D012883:Skin Ulcer / Q000175:diagnosis* / Q000473:pathology; D014278:Trigeminal Nuclei / Q000098:blood supply* / Q000473:pathology