lam79m
Forum Junior
Topics: 6
Posts: 43
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Presents with disphagia and hoarsness. On exam there is ptosis and miosis on the left, as well as a diminished gag reflex. There is also decreased thermoalgesic sensation on the left side of the face and right side of the body. Which vessel is most likely occluded?
A. AICA
B. PCA
C. Anterior spinal a.
D. PICA
E. MCA
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| docswapna
Forum Senior
Topics: 61
Posts: 229
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D - lateral medullary syndrome
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| young_doc
Forum Guru
Topics: 55
Posts: 732
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Anyone one have mnemonics or easy associations for the brain stem lesions. It's just one of those things that just never sticks no matter how often i try to memorize them!
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First Aid is my Bible...
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| lam79m
Forum Junior
Topics: 6
Posts: 43
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It is lateral medullary syndrome.
Contralateral loss of
pain and thermal sense on body = spinal lemniscus
Ipsilateral loss of pain and thermal sense on face =tract and nucleus of spinal trigeminal
Dysphagia, hoarseness
diminished gag nerves reflex = n. ambiguus,
Ipsilateral Horner syndrome (miosis,ptosis, anhidrosis, flushing of face) = desc. hypoth. fibers
Ataxia to the ipsilateral side = restiforme
i donīt know any mnemonics for all this crap, just going to have to painfuly memorize it
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| lq2006
Forum Elite
Topics: 43
Posts: 382
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PICA
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