This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Neurology, Other  • Alert me on articles by topic

Arch Neurol. 2000;57:1639-1640.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 57-year-old man with a history of hypertension was well until he noticed right-handed clumsiness. One year later he was evaluated for slowly progressive right hemiparesis. He had no history of transient ischemic attacks or stroke. On examination he was alert and oriented. The pupils were equal and reactive to light; eye movement was full and smooth. There was no ptosis or facial palsy; his speech was fluent. The soft palate moved symmetrically. The tongue was deviated to the left on protrusion, with atrophy and fasciculation on its left side noted. He had hemiparesis, hyperreflexia, and extensor plantar reflex on the right. Proprioception and vibratory sense were impaired on the right side, but pain and temperature sensations were intact. There was no sign of cerebellar ataxia. These neurological findings constituted the medial medullary syndrome of Déjérine. A contrast-enhanced computed tomographic scan revealed a large calcified mass in the posterior fossa . . . [Full Text of this Article]

COMMENT