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Body Lateropulsion as a Presenting Symptom of Rostral Paramedian Midbrain Syndrome

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Author(s)
Hyung Lee
Keimyung Author(s)
Lee, Hyung
Department
Dept. of Neurology (신경과학)
Brain Research Institute (뇌연구소)
Journal Title
European Neurology
Issued Date
2008
Volume
60
Issue
2
Abstract
Dear Sir,
Lateropulsion of the body is the occurrence
of an irresistible fall in individuals
without vertigo, paresis, sensory loss, or
cerebellar deficits [1] . It is a well-known
clinical feature of the lateral medullary infarction,
but other lesions with cerebellum,
midbrain, thalamus, and pons could
also result in body lateropulsion [2–6] .
Body lateropulsion is usually associated
with other neurological symptoms or
signs, which vary according to the structures
involved. Vestibular dysfunction in
the roll plane of the vestibulo-ocular reflex
is responsible for body lateropulsion in
most cases [2] . There have been only few
reports [7, 8] on body lateropulsion as a
presenting symptom of rostral midbrain
infarction. Furthermore, previous reports
[7, 8] have not emphasized the vestibular
dysfunction as a possible mechanism of
body lateropulsion and did not perform a
quantitative posturography test to investigate
the mechanism of gait dysfunction. I
present a patient who had body lateropulsion
as the presenting feature of a small infarct
in the rostral paramedian midbrain
and discuss the possible mechanism of
body lateropulsion at the level of the rostral
midbrain.
Keimyung Author(s)(Kor)
이형
Publisher
School of Medicine
Citation
Hyung Lee. (2008). Body Lateropulsion as a Presenting Symptom of
Rostral Paramedian Midbrain Syndrome. European Neurology, 60(2), 101–103. doi: 10.1159/000138961
Type
Article
ISSN
0014-3022
DOI
10.1159/000138961
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35683
Appears in Collections:
3. Research Institutues (연구소) > Brain Research Institute (뇌연구소)
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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