Ipsilateral hemiplegia in a lateral medullary infarct--Opalski's syndrome.
A 42-year-old man was admitted complaining of the sudden onset of headache, vomiting, vertigo, and gait disturbance. The authors found hemiparesis of his right limbs, right Homer's syndrome, and decreased pain and temperature sensation of his right face and left limbs. Diffusion-weighted imaging (DWI) showed an acute small infarct located on the right side of the lateral lower medulla. This is the first report of Opalski's syndrome with lower medullary infarction detected by DWI.
Kimura
Yasuyuki
Y
Division of Stroke and Hypertension, Department of Internal Medicine, Osaka National Hospital, Japan. yaz@medone.med.osaka-u.ac.jp
Hashimoto
Hiroyuki
H
Tagaya
Masafumi
M
Abe
Yuko
Y
Etani
Hideki
H
D000328:Adult; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000175:diagnosis* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male