Dysphagia caused by a lateral medullary infarction syndrome (Wallenberg's syndrome).
A 68-year-old man was referred to our hospital for a dysphagia evolving for 10 days. Clinical examination had found neurological signs as contralateral Horner's syndrome, ipsilateral palatal paresis, gait ataxia and hoarseness. Video-fluoroscopy showed a lack of passage of contrast medium to the distal esophagus. Esogastroduodenoscopy was normal. The cranial MRI had shown an acute ischemic stroke in the left lateral medullar region and the diagnosis of Wallenberg syndrome (WS) was established. WS remains an unknown cause of dysphagia in the clinical practice of the gastroenterologist.
Department of gastroenterology, Hassan II university hospital of Fez, Faculty of medicine and pharmacy of Fez - Sidi-Mohammed-Ben-Abdellah University of Fez, Morocco.
Amine
A
El Mekkaoui
Hanane
H
Irhoudane
Adil
A
Ibrahimi
Mounia
M
El Yousfi
D000368:Aged; D002545:Brain Ischemia / Q000209:etiology* / Q000473:pathology; D003680:Deglutition Disorders / Q000209:etiology*; D038524:Diffusion Magnetic Resonance Imaging; D016145:Endoscopy, Digestive System; D005471:Fluoroscopy; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male