Brainstem sydromes Flashcards

1
Q

Lateral medullary/Wallenberg

A

A. Vertebralis or PICA

- Ipsilateral
Vestibular
Horner
Trigeminus
Ambiguus(ssallowing)
Cerebellar
  • Contralateral:
    Lateral Spinothalamic
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2
Q

Medial medullary

A

Vertebral or anterior spinal

Ipsilateral:
Tongue paresis hypoglossal

Contralateral:
Corticospinalis
Dorsal column

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3
Q

Middle pontine syndrome

A

Paramedian branches of basilar artery

Ipsilateral:
Ipsilateral ataxia
Ipsilateral abducens paresis
Internuclear opthalmoplegia
Paralysis of gaze to side of lesion bc of paramedian pontine reticular formation lesion

Contralateral:
Corticospinalis
Dorsal column

Bilateral: Locked in syndrome - Only eye movement and aware, no sensation too!

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4
Q

Lateral pontine syndrome

A

Anteroinferior or superior cerebellar artery

Ipsilateral: 
Horner
Ataxia
5/7/8 loss
Paralysis of side gaze to lesion because of paramedian pontine reticular formation

Contralateral:
Spinothalamicus

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5
Q

Ventral tegmental

A

Ipsilateral occulomotor paresis

Contralateral hemiparesis

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6
Q

Central tegmental

A

Ipsilateral Occulomotor
Contralateral medial lemniscus
Contralateral tremor/involuntary movements bc of nucleus ruber

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