Lateral Medullary Syndrome (Wallenberg) | A Clinical Medicine Brief

🧠 NEURO101: Lateral Medullary Syndrome (Wallenberg) | Clinical Medicine Brief
In this episode of the NEURO101 series from the Pro-PA Podcast, Dr. G explores Lateral Medullary Syndrome, also known as Wallenberg Syndrome—a classic brainstem stroke that’s high yield for your PANCE, rotations, and real-world neuro exams.

🧠 Caused by an infarct in the posterior inferior cerebellar artery (PICA) or vertebral artery, this syndrome presents with a weird but unforgettable mix of cranial nerve and cerebellar findings.

🎯 In this Clinical Medicine Brief, we’ll review:

What is Lateral Medullary Syndrome? (Kinder Patho breakdown)

Classic presentation: dysphagia, hoarseness, vertigo, nystagmus, ipsilateral facial pain/temp loss, contralateral body pain/temp loss

Structures involved: spinothalamic tract, spinal trigeminal nucleus, vestibular nuclei, nucleus ambiguus, sympathetic fibers, cerebellum

Mnemonic tools to remember findings (e.g., "Don't PICA fight with your medulla!")

Key diagnostic tools: MRI brainstem, vascular imaging

Treatment: stroke protocols, antiplatelets or anticoagulation, rehab for deficits

This is one of the most tested posterior circulation syndromes—and it can easily trip up students without a structured approach.

🎧 Listen to the Pro-PA Podcast:
https://open.spotify.com/show/2gn5uJP...
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