Opalski's syndrome: a rare variant of Wallenberg's syndrome

Authors

  • Manoj Sivasamy Department of Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
  • Shreenidhi R. Department of Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
  • Nishaanth M. K. Department of Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India
  • Prasanna Karthik S. Department of Medicine, Saveetha Medical College Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20223410

Keywords:

Opalski syndrome, Lateral medullary syndrome, Wallenberg syndrome, Pyramidal tract

Abstract

A 54-year-old, right-handed male presented with acute-onset severe headache, vertigo, and vomiting. Initial neurologic examination illustrated dysarthria (lingual), nystagmus (horizontal), left dysmetria on finger-to-nose testing, and weakness of the left upper and lower limb. Magnetic resonance imaging showed left lateral medullary infarction (Wallenberg syndrome). The patient was discharged 3 weeks later to an inpatient treatment with neurorehabilitation facility with gradual improvement of his symptoms.

References

Opalski A. A new sub-bulbar syndrome: Partial syndrome of the posterior Vertebro-spinal artery. Paris Med. 1946;214-20.

Babinski J, Nageotte J. Hemiasynergine, lateropulsion et myosis bulbaires avec hemianesthesia et hemiplegia croisees. Rev Neurol (Paris). 1902;10:358-65.

Liu CY, Chang FC, Hu HH, Hsu LC. Ipsilateral crural monoparesis in lateral medullary infarction due to vertebral artery dissection. Eur J Neurol. 2006;13:e8-9.

Hermann DM, Jung HH, Bassetti CL. Lateral medullary infarct with alternating and dissociated sensorimotor deficits: Opalski's syndrome revisited. Eur J Neurol. 2009;16:e72-4.

Pandey S, Batla A. Opalski's syndrome: A rare variant of lateral medullary syndrome. J Neurosci Rural Pract. 2013;4(1):102-4.

Aslanidis T, Chytas I, Kontos A, Giannakou-Peftoulidou M (2012) Management of a patient with Opalski’s syndrome in intensive care unit and mini review of the literature. Hippokratia 16:373–374.

Gil Polo C, Castrillo Sanz A, Gutiérrez Ríos R, Mendoza Rodríguez A (2013) Opalski syndrome: a variant of lateral-medullary syndrome. Neurologia. 2013;28:382-4.

Lui F, Tadi P, Anilkumar AC. Wallenberg Syndrom. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2022.

Downloads

Published

2022-12-27

Issue

Section

Case Reports