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Acta Neurologica Belgica https://doi.org/10.1007/s13760-023-02284-0 LE T TER TO THE EDITOR Isolated contralateral spinothalamic sensory loss below thoracic level due to lateral medullary infarction 1 1 1 2 Akiyuki Hiraga · Kazuho Kojima · Masahide Suzuki · Satoshi Kuwabara Received: 23 February 2023 / Accepted: 5 May 2023 © The Author(s) under exclusive licence to Belgian Neurological Society 2023 Keywords Lateral medullary infarction · Pure sensory stroke · Spinothalamic tract · Sensory level · Dermatomal sensory manifestations Dear Editors, gait was normal. Vibration and joint position sensation were normal. Sensory examination revealed a loss of pain, heat, Lateral medullary infarction (LMI) is a well-known syn- and cold sensation on the right side below the T8 level with drome presenting with various neurological signs and symp- a distinct sensory level (Fig. 1A). Brain diffusion-weighted toms, such as sensory disturbance, vertigo or dizziness, imaging and fluid-attenuated inversion recovery images on nystagmus, ataxia, dysphagia, and Horner’s sign [1]. LMI day 5 showed a small high-intensity signal in the left lateral is frequently accompanied by various sensory disturbance medulla (Fig. 1B–D). Brain non-contrast enhanced magnetic patterns, including the classical ipsilateral-trigeminal and resonance angiography showed the right vertebral artery contralateral body/limb type symptoms [1]. This variation was narrow and terminated in a posterior inferior cerebel- results
Acta Neurologica Belgica – Springer Journals
Published: May 11, 2023
Keywords: Lateral medullary infarction; Pure sensory stroke; Spinothalamic tract; Sensory level; Dermatomal sensory manifestations
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