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Instituto Nacional de Neurología y Neurocirugía

2020, Number 2

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Arch Neurocien 2020; 25 (2)

Opalski syndrome, variant of Wallenberg syndrome. Case report and literature review

González-González G, Anzures-Gómez PK

Language: Spanish
References: 10
Page: 80-86
PDF size: 550.51 Kb.


ABSTRACT

Wallenberg syndrome was first described in 1895 as a clinical entity where its main characteristics are the presence of cross hemianesthesia, cerebellar ataxia and bulbar paralysis. It was up to eighty-nine years later when its variant, Opalski syndrome, was first described, where hemiplegia or hemiparesis, which plays a central role in making the distinction between it and Wallemberg syndrome, presented on the same side as bulbar stroke occurs. Most cases are caused by occlusion of the posteroinferior cerebellar artery and semiology is a fundamental part of the diagnosis.
The following work presents the clinical case of a lateral bulbar infarction in its Opalski variant. A review of the current literature is made, describing the clinical presentation of this pathology and the probable pathophysiological explanation of this variant. There are no studies reporting the incidence of this syndrome in Mexico, which is probably the result of underdiagnosis in our country.


REFERENCES

  1. Rivera-Nava SC, Miranda-Medrano LI, Pérez-Rojas JEA, Flores J de J, Rivera-García BE.INSTRUMENTOS CLÍNICOS. Rev Med Inst Mex Seguro Soc. :13.

  2. Montaner J, Alvarez-Sabín J. Opalski’s syndrome. J Neurol Neurosurg Psychiatry. 1999; 67(5):688-9. DOI: 10.1136/ jnnp.67.5.688

  3. Savitz SI, Caplan LR. Vertebrobasilar disease. N Engl J Med. 2005;352(25):2618-26. DOI: 10.1056/NEJMra041544

  4. Ulloa-Alday JO, Cantú-Ibarra SA, Melo-Sánchez MG, Berino-Pardo DN. Síndrome de Wallenberg. Med Interna México. 2015; 31(4):491-8.

  5. Escobar A. Nota Biográfica de Adolf Wallenberg. Rev Mex Neurocienc. 2007; 8(3): 296-8. http://previous. revmexneurociencia.com/wp-content/uploads/2014/06/Nm073-13.pdf

  6. KK P, R K, P C, Aiyappan SK, N D. A Rare Variant of Wallenberg’s Syndrome: Opalski syndrome. J Clin Diagn Res JCDR. julio de 2014; 8(7):MD05-6. doi: 10.7860/JCDR/2014/9547.4626

  7. Aynaci O, Gok F, Yosunkaya A. Management of a patient with Opalski’s syndrome in intensive care unit. Clin Case Rep. 2017; 5(9):1518-22. doi: 10.1002/ccr3.1111

  8. Navarro Castro CE, Macea Ortiz J. Síndrome de Opalski, una variante del síndrome de Wallenberg: reporte de caso y revisión de la literatura. Acta Neurológica Colomb. 2017; 33(3):182-7. http://dx.doi.org/10.22379/24224022155.

  9. Rytel L, Lech P, Szymańska K, Gonkowski S. Adam Opalski (1897–1963). J Neurol. 2018; 1730-31. doi: 10.1007/ s00415-017-8704-8

  10. Nakamura S, Kitami M, Furukawa Y. Opalski syndrome: ipsilateral hemiplegia due to a lateralmedullary infarction. Neurology. 2010; 75(18):1658. DOI: 10.1212/WNL.0b013e3181fb4479




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