Medial medullary syndrome | |
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Other names | Inferior alternating syndrome |
Medulla oblongata, shown by a transverse section passing through the middle of the olive. (Medial medullary syndrome can affect structures in lower left: especially #5, #6, #8.) | |
Specialty | Neurology |
Diagnostic method | Ipsilateral signs and symptoms - flaccid (lmn) paralysis and atrophy of one half of tongue (hypoglossal nerve)
Contralateral signs and symptoms- spastic (umn) paralysis of trunk and limbs (contralateral corticospinal tract) Impaired tactile, proprioceptive, and vibration sense of trunk and limbs (contralateral medial lemniscus) |
Medial medullary syndrome, also known as inferior alternating syndrome, hypoglossal alternating hemiplegia, lower alternating hemiplegia,[1] or Dejerine syndrome,[2] is a type of alternating hemiplegia characterized by a set of clinical features resulting from occlusion of the anterior spinal artery. This results in the infarction of medial part of the medulla oblongata.