The Analysis Of Clinical Manifestation With30Cases Of The Wallenberg Syndrome

Purpose: To investigate the cause, risk factors, clinical manifestations,radiology and prognosis of the Wallenberg syndrome.Method:30cases of Wallenberg syndrome patients that were admitted tothe neurologic department of our hospital (from March2012to February2014)were used to conduct this respective study. We retrospectively analyzed theirrisk factors, clinical manifestations, imaging studies, blood vessel inspectionand prognosis,then compared with previous literature,deepen the furtherunderstanding of the disease.Results:1.The main risk factors of this group Wallenberg syndrome from high tolow in turn were hypercholesterolemia, hypertension, long-term history ofsmoking and alcohol, hyperglycemia and history of heart disease.2. This group Wallenberg syndrome frequency of clinical symptomsfollowed by dysarthria, dysphagia,dizziness, ataxia, Horner’s syndrome,sensory disturbances, nystagmus and hiccups. Other atypical symptomsinclude: headache, central facial paralysis, hemiparesis, pathological positiveand diplopia.3. Wallenberg syndrome complications in this group were appearing in thecourse of lung infection, stress ulcer,arrhythmias and electrolyte disturbances.4. The group of30cases of Wallenberg syndrome,29toutine head MRIexamination revealed dorsolateral medullary infarct new,1received only headCT examination found no lesions in the brainstem.21cases of patients with blood vessel inspection, found ipsilateral vertebral artery unstable plaques,vascular stenosis or developmental slender12cases; find that there existbilateral vertebral artery lesions in these two cases; found only contralateralvertebral internal carotid artery or blood vessel system unstable plaque orstenosis in6cases; had1case of blood vessel inspection found noabnormalities.5.30patients were treated system2-3weeks after27cases improved anddischarged, the symptoms which not fully recovered from high to low is Horner,sensory disturbance, dysarthria and swallowing dysfunction.3cases appearedin relatively stable condition and conscious clear when the patients died ofrespiratory arrest(10%).Conclusion:1.hypercholesterolemia,hypertension,long-term history of smoking andalcohol,hyperglycemia,history of heart disease are the most common riskfactors for Wallenberg syndrome, risk factors and ischemic cerebrovascularroughly the same.2.Patients with classic symptoms of Wallenberg syndrome, while alsoaccompanied by other symptoms such as atypical central facial paralysis,hemiparesis,etc.3.Wallenberg syndrome occurred complications more than other parts ofthe infarction.4.Wallenberg syndrome cause of this group are infarction. Found higheripsilateral vertebral artery lesions proportion of patients, there may be theresponsibility of the blood vessels of the syndrome.5.Wallenberg syndrome prognosis is relatively good,but Horner,sensorydisturbances,dysarthria and swallowing dysfunction symptoms of slowrecovery.The main died of the disease because of respiratory arrest,and itsincidence is high compared to other parts of the infarct.