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Acta Neurol Belg (2014) 114:143–144 DOI 10.1007/s13760-013-0266-7 N E URO- IMA G ES • • Guillaume Taieb Dimitri Renard Luc Jeanjean Pierre Stoebner Received: 13 November 2013 / Accepted: 28 November 2013 / Published online: 13 March 2014 Belgian Neurological Society 2014 Keywords Wallenberg syndrome Lateral medullary bodies of thermal and nociceptive pathways. As opposed infarction Neurotrophic ulceration Itch Spinal to genuine neurotrophic ulcerations due to A- and C-fibers trigeminal nucleus involvement reported in peripheral trigeminal nerve lesion, Wallenberg-associated ulcerations are related to multiple microtraumatisms resulting from both continuous A 72-year-old patient presented with a left-sided Wal- pruritus of central origin and painless sensation in tri- lenberg syndrome, including thermoalgic anesthesia geminal area [2]. associated with severe itching leading to ulcerations in the Conflict of interest We have no conflict and no financial disclosure left trigeminal area (Fig. 1). Few cases of so-called of interest to declare. ‘‘neurotrophic’’ ulcerations in the trigeminal area (some- times with corneal involvement) following lateral med- Consent form I, Mr Bernard Calvet born 08/15/38, agree that the ullary infarction have been reported [1]. The spinal photo of my face as well as the information described concerning myself in the manuscript
Acta Neurologica Belgica – Springer Journals
Published: Mar 13, 2014
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