Lesional syndromes Flashcards
Nothnagel Syndrome
Midbrain
CN 3, IL cbl ataxia
Weber’s
Ventral midbrain
IL 3rd, CL face and body weakness
Wallenberg syndrome
Lateral medullary syndrome - think PICA infarct! IL horners Loss pain/temp IL face, CL body Palatal clonus IL ataxia Hoarse/dysphagia, impaired gag
Parinaud’s
Dorsal midbrain Upgaze paralysis light-near dissociation convergence-retraction nystagmus eyelid retraction conjugate downgaze in primary position (setting sun sign)
Lateral medullary syndrome - think PICA infarct! IL horners Loss pain/temp IL face, CL body Palatal clonus IL ataxia Hoarse/dysphagia, impaired gag
Wallenberg syndrome
Dorsal midbrain Upgaze paralysis light-near dissociation convergence-retraction nystagmus eyelid retraction conjugate downgaze in primary position (setting sun sign)
Parinaud syndrome
Ventral midbrain
IL 3rd, CL face and body weakness
Weber syndrome
Midbrain
CN 3, IL cbl ataxia
Nothnagel syndrome
Millard-gubler syndrome
Unilateral lesion ventral caudal pons
IL 6, 7
CL hemiparesis
Unilateral lesion ventral caudal pons
IL 6, 7
CL hemiparesis
Millard-gubler syndrome
Dejerine’s syndrome
medial medullary
CL weak
CL hemisensory loss
IL tongue deviation
medial medullary
CL weak
CL hemisensory loss
IL tongue deviation
Dejerine’s syndrome
Claude’s syndrome
Midbrain, incl decussation sup cbl peduncle
IL 3rd
CL ataxia and tremor
Midbrain, incl decussation sup cbl peduncle
IL 3rd
CL ataxia and tremor
Claude’s syndrome
Benedikt’s syndrome
Midbrain - with red nucleus
IL 3rd
CL choreiform mvts