Clinical differences and related factors of Wallenberg syndrome
- VernacularTitle:Wallenberg综合征的临床差异及相关因素
- Author:
Wen GAO
1
Author Information
- Publication Type:Journal Article
- Keywords: Wallenberg syndrome; Dysphagia; Dysarthria; Posterior inferior cerebellar artery （PICA）
- From: Journal of Apoplexy and Nervous Diseases 2020;37(7):641-644
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the reasons for differences in the clinical manifestations of Wallenberg syndrome，and provid valuable information for clinical work. Methods A retrospective analysis of 41 cases of Wallenberg syndrome clinical and imaging data. Our patients were grouped according to age，risk factors and vascular lesions. The clinical differences were studied in each group of patients. Results The most common clinical symptoms and signs of Wallenberg syndrome was vertigo and dizziness，followed dysarthria，ataxia，sensory disturbances，gag reflex diminished or disappeared，difficulty swallowing，nausea or vomiting，Horner syndrome，nystagmus. Age and clinical symptom scores were negatively correlated （P=0.002）. Hypertension，diabetes，hyperlipidemia，and smoking in patients with clinical manifestations were no significant correlation. The vertebral artery and vertebral artery combined cerebellar artery disease patients were statistically significant different with pure posterior inferior cerebellar artery disease patients in the emergence of dysarthria （P=0.029），nausea/vomiting（P=0.033） and dysphagia（P=0.002）. Conclusion Clinical manifestations of Wallenberg syndrome are varied. Age and clinical symptom scores were negatively correlated. Vertebral artery and vertebral artery joint cerebellar artery disease more easily lead to dysarthria，dysphagia，and nausea/vomiting.
- Full text:2024080122142813540Clinical differences and related factors of Wallenberg syndrome.pdf
