Syndromes

Question 1

Pt presents with tongue protruding to L

R sided loss of DCML senses

R sided hemiparesis

What could they possibly have?

Answer 1

Left Medial Medullary Syndrome

Affected: Corticospinal tract (Contralateral), DCML (Contralateral), Hypoglossal (Same side)

(blockage of anterior spinal artery)

Question 2

Pt can only move eyes up and down, paralysis everywhere else, what is the possible diagnosis?

Answer 2

Locked in syndrome

Basilar Artery stroke

Question 3

Pt presents with pupil constricted and drooping eyelid, their skin around the eye looks very dry

what is the possible diagnosis?

Answer 3

Horner Syndrome

Damage to sympathetic nerves

Question 4

Pt presents with R sided hearing loss

Dysequilibrium

R sided horner syndrome

R sided Loss of facial sensation and muscles

and decreased salivtory production

L sided pain and temperature sensation missing

What is the possible diagnosis?

Answer 4

(Right side) Lateral Inferior Pontine Syndrome

Stroke of AICA

Question 5

Pt presents with

R sided paralysis

L sided loss of eye movement w/ dialated pupil

Loss of motor coordination/ Ataxia

And Lability (Inappropriate laughing or crying)

What is the possible diagnosis?

Answer 5

(Left side)

Anteromedial midbrain syndrome

AKA Weber’s syndrome

Blockage of PCA or basilar artery

Question 6

Pt presents with elevated HR
Lack of balance
Lack of facial sensation
R sided DCML sensation loss
L sided Horner syndrome
Lack of gag reflex

What is a possible diagnosis?

Answer 6

L sided Lateral Medullary Syndrome
AKA Wallenberg syndrome

Stroke to PICA