Opalski 증후군 1예

• 영문명: A Case of Opalski s Syndrome
• 발행기관: 조선대학교 의학연구원
• 저자명: 김형민(Hyung-Min Kim) 이승안(Seung-An Lee) 류종현(Jong-Hyun Reu) 조경원(Kyung-Won Cho) 안성환(Seong-Hwan Ahn) 임건한(G
• 간행물 정보: 『The Medical Journal of Chosun University』제33권 제1호, 85~87쪽, 전체 3쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.02.28

영문 초록

Opalski’s syndrome is a variant of lateral medullary syndrome with ipisilateral hemiplegia that was first reported by Opalski. The lesion causing this syndrome is located lower than in Wallenberg’s syndrome and involves the corticospinal fibers caudal to the pyramidal decussation. A 46-yearold man with hypertension was admitted complaining of the sudden onset of vertigo, headache and gait disturbance. On admission, examination revealed monoparesis of the right lower limb, right Homer s syndrome, horizontal torsional nystagmus by lateral gaze, and decreased pain and temperature sensation of the 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 in Korea.

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키워드

Opalski’s syndrome Ipsilateral hemiplegia Lateral medullary syndrome Diffusion-Weighted Imaging