Babinski-Nageotte syndrome due to vertebral artery dissection.
Hemimedullary infarction, which presents Babinski-Nageotte syndrome, has been mainly reported to result from atherosclerotic occlusion of the vertebral artery. A 54-year-old housewife with right nuchal pain developed Wallenberg's syndrome followed by left hemiparesis. Diffusion-weighted magnetic resonance imaging documented fresh infarcts in the right hemimedulla and right dorsal cerebellum. Angiography revealed dissection of the right vertebral artery as a cause of the infarcts. Anterograde progression of the dissection might cause stepwise evolution of her neurological symptoms.
D000792:Angiography / Q000379:methods; D005260:Female; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D020217:Vertebral Artery Dissection / Q000150:complications* / Q000175:diagnosis