Unilateral shivering: a result of lateral medullary infarction.
Shivering is mediated via the predominantly uncrossed reticulospinal tract. We report a case of a patient with left lateral medullary tract infarct involving the reticulospinal tract who displayed ipsilateral absence of shivering during a febrile episode. The physiology and anatomy of shivering and the reticulospinal tract is reviewed.
Gilbert
Gordon J
GJ
Department of Molecular Pharmacology and Physiology, University of South Florida School of Medicine, Tampa, FL, USA. drgg22@tampabay.rr.com
D000368:Aged; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000150:complications / Q000473:pathology / Q000503:physiopathology*; D008297:Male; D012768:Shivering / Q000502:physiology*; D013133:Spinothalamic Tracts / Q000503:physiopathology; D013787:Thalamic Nuclei / Q000503:physiopathology; D014279:Trigeminal Nucleus, Spinal / Q000503:physiopathology