Medial medullary syndrome
Medial Medullary Syndrome (also known as Dejerine Syndrome) is a type of stroke that affects the medulla oblongata, a part of the brainstem. This condition is typically caused by a blockage in the anterior spinal artery, which supplies blood to the medulla.
Symptoms[edit | edit source]
The symptoms of Medial Medullary Syndrome can vary depending on the severity and location of the stroke. Common symptoms include:
- Weakness or paralysis on one side of the body (hemiparesis)
- Difficulty speaking or swallowing (dysarthria and dysphagia)
- Loss of sensation on the opposite side of the body
- Vertigo or dizziness
- Nystagmus, an involuntary movement of the eyes
Causes[edit | edit source]
The primary cause of Medial Medullary Syndrome is a blockage in the anterior spinal artery. This can occur due to a variety of reasons, including:
- Atherosclerosis, a condition where the arteries become narrow due to the buildup of plaque
- Blood clots
- Inflammation of the blood vessels (vasculitis)
- Diabetes
- High blood pressure
Diagnosis[edit | edit source]
Diagnosis of Medial Medullary Syndrome is typically made based on the patient's symptoms and medical history. Imaging tests such as a CT scan or MRI may be used to confirm the diagnosis and determine the extent of the stroke.
Treatment[edit | edit source]
Treatment for Medial Medullary Syndrome focuses on managing the symptoms and preventing further strokes. This may include:
- Medications to control blood pressure and cholesterol levels
- Anticoagulants to prevent blood clots
- Physical therapy to help with mobility and strength
- Speech therapy to help with speech and swallowing difficulties
Prognosis[edit | edit source]
The prognosis for Medial Medullary Syndrome can vary greatly depending on the severity of the stroke and the patient's overall health. Some people may make a full recovery, while others may have long-term or permanent disabilities.
See also[edit | edit source]
Medial medullary syndrome Resources | ||
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Contributors: Prab R. Tumpati, MD