Thahseen Nilofar S, S. Saravanan, Sankaranarayanan P

CLINICAL PROFILE OF LATERAL MEDULLARY SYNDROME IN A TERTIARY CARE HOSPITAL IN SOUTH TAMILNADU

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Objectives: To describe the clinical prole of Lateral Medullary Syndrome admitted in Department of Neurology in a tertiary care hospital in South TamilNadu. Patients who satised clinical criteria for Latera Methods: l Medullary syndrome were recruited consecutively until sample size of 30 was reached over a period of 12 months. They were examined clinically; vascular risk factors assessed, relevant investigations including FBS, PPBS, MRI Brain with MRA were performed. Results: Among the LMS patients 90% were males. All of them had infarcts. Diabetes and Dyslipidemia were the most common systemic risk factors. Limb Ataxia was universal. 40% of our patients had ipsilateral facial palsy. Ipsilateral hemiparesis was seen in 50%. The most common sensory pattern observed was Stopford type IV. MRA was normal in 60% of patients. Conclusion: LMS presents as a fragmented syndrome. It is more common in males and seen frequently after 50 years. Diabetes and Dyslipidemia are the systemic vascular risk factors frequently associated with LMS. LMS is almost always due to infarct. Small vessel disease is more often the cause. Vertebral artery is the frequently involved large vessel. Ipsilateral facial palsy and ipsilateral hemiparesis was a frequent observation among LMS patients in our population. Stopford type IV sensory pattern was more common than classical Stopford type I in our population. Rare causes of LMS include dolichoectasia, arterial dissection and vascular malformation

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