Blepharoptosis and dysarthria in a boy aged 2 years.
- Author:
Li-Rong ZHAO
1
;
Jing-Jing ZHAO
;
Zhuo FU
;
Jun-Xian FU
;
Ting WANG
;
Xiao-Guang YANG
;
Guang-Lu YANG
Author Information
1. Department of Pediatrics, Maternal and Child Health Care Hospital of Inner Mongolia Medical University, Hohhot 010000, China.
- Publication Type:Journal Article
- MeSH:
Blepharoptosis/etiology*;
Child, Preschool;
Dysarthria/etiology*;
Humans;
Lateral Medullary Syndrome/diagnosis*;
Magnetic Resonance Imaging;
Male;
Medulla Oblongata/diagnostic imaging*
- From:
Chinese Journal of Contemporary Pediatrics
2020;22(12):1320-1325
- CountryChina
- Language:Chinese
-
Abstract:
A boy, aged 2 years and 4 months, had a sudden onset of blepharoptosis of the right eyelid, accompanied by the mouth deviated to the right side, drinking cough, nystagmus, and developmental regression. Cranial MRI showed softening lesions formed after infarction of the right dorsolateral medulla oblongata, while head CT angiography showed no imaging of the proximal part of the V4 segment of the right vertebral artery. The child was diagnosed with dorsolateral medulla oblongata syndrome and was treated with gamma globulin to regulate immune function, with mannitol to reduce neuronal edema, with low-molecular-weight heparin sodium to improve local hypercoagulation of occluded blood vessels, with hyperbaric oxygen to improve local ischemia and hypoxia and promote the recovery of brain function, and with neuromuscular electrical stimulation to promote the recovery of neuromuscular function. Before discharge, only mild right ataxia and Horner syndrome remained. This article reports the first case of infantile dorsolateral medulla oblongata syndrome and provides experience for the diagnosis and treatment of the disease.
