Wallenberg Syndrome with Associated Motor Weakness in a Two-Week-Postpartum Female.
A 30-year-old, right-handed female presented 2 weeks postpartum with acute-onset severe headache, vertigo, and vomiting. Initial neurologic examination illustrated lingual dysarthria, horizontal nystagmus, right dysmetria on finger-to-nose testing, and weakness of the extremities. Magnetic resonance imaging showed a large, left lateral medullary infarction (Wallenberg syndrome) with cephalad extension into the ipsilateral pons as well as involvement of the left middle cerebellar peduncle. The patient was discharged 3 weeks later to an inpatient rehabilitation facility with gradual improvement of her symptoms.
The Commonwealth Medical College, Scranton, Pa., USA.
David W
DW
Louis
The Commonwealth Medical College, Scranton, Pa., USA.
Nimit
N
Dholakia
The Commonwealth Medical College, Scranton, Pa., USA ; Allied Services Integrated Health System, Wilkes-Barre, Pa., USA.
Michael J
MJ
Raymond
Dysphagia; Lateral medullary infarct; Vertebral dissection; Wallenberg syndrome