Variants of Avellis Syndrome Due to Medulla Oblongata Infarction: A Case Series.
Journal
The neurologist
ISSN: 2331-2637
Titre abrégé: Neurologist
Pays: United States
ID NLM: 9503763
Informations de publication
Date de publication:
07 Sep 2021
07 Sep 2021
Historique:
entrez:
7
9
2021
pubmed:
8
9
2021
medline:
29
10
2021
Statut:
epublish
Résumé
Avellis syndrome is classically defined as a neurological disorder characterized by paralysis of the soft palate and vocal cords on one side, and a loss of sensation of pain and temperature sense on the other side. Between 2010 and 2020, 5400 patients with ischemic stroke were admitted to the Stroke Unit and prospectively entered in our Stroke Registry. A total of 216 patients with magnetic resonance imaging-proven ischemic lesions restricted to the medulla oblongata were identified. Among them, 5 patients had Avellis syndrome with a small medullary infarction. There was paralysis of the soft palate and vocal cords in all patients, but besides of loss of pain sensation and temperature sense, there were also partial disturbances in position and vibration senses in 3 patients. Different types of neuro-ophthalmologic findings were observed in 4 patients. In 5 patients, the cause of medulla oblongata infarct was microscopic polyangiitis vasculitis, neuro-Behçet disease, vertebral artery dissection, small vessel disease, and neurobrucellosis small vessel vasculitis. Avellis syndrome may present with additional neurological findings besides its classic definition. Apart from atherosclerotic disease, rare causes should be investigated in detail in small ischemic medullary lesions.
Identifiants
pubmed: 34491936
doi: 10.1097/NRL.0000000000000344
pii: 00127893-202109000-00007
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
185-188Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Avellis G. Klinische Beitrage zur halbseitigen Kehlkopflahmung [Clinical contributions to unilateral larynx paralysis]. Berliner Klinik. 1891;10:1–26.
Kataoka S, Hori A, Hirose G, et al. Avellis’ syndrome: the neurological-topographical correlation. Eur Neurol. 2001;45:292–293.
Geerlings Rianne PJ, Pompe SM, Koehler PJ. Dysphagia in Avellis’ syndrome [in Dutch]. Ned Tijdschr Geneeskd. 2012;156:A3689.
Krasnianski M, Neudecker S, Schlüter A, et al. Avellis’ syndrome in brainstem infarctions [in German]. Fortschr Neurol Psychiatr. 2003;71:650–653.
Nakaso K, Awaki E, Isoe K. A case of supranuclear hypoglossal nerve palsy with Avellis’ syndrome due to a medullary infarction [in Japanese]. Rinsho Shinkeigaku. 1996;36:692–695.
Takahashi K, Kitani M, Fukuda H. A case of Avellis’ syndrome with ipsilateral central facial palsy due to a small medullary infarction [in Japanese]. Rinsho Shinkeigaku. 2000;40:409–411.
Jacod M. Avellis syndrome by bulbar hemorrhage. Ann Otolaryngol. 1945;12:421.
Bauer F. Avellis’ syndrome: its pathology and differential diagnosis. Acta Otorhinolaryngol Belg. 1975;29:1010–1017.
Prosiegel M, Höling R, Heintze M, et al. Swallowing therapy—a prospective study on patients with neurogenic dysphagia due to unilateral paresis of the vagal nerve, Avellis’ syndrome, Wallenberg’s syndrome, posterior fossa tumours and cerebellar hemorrhage. Acta Neurochir Suppl. 2005;93:35–37.
Kashihara K, Ishizu H, Shomori T, et al. Avellis syndrome in systemic rheumatoid vasculitis [in Japanese]. Rinsho Shinkeigaku. 1995;35:1155–1159.
Habek M, Mubrin Z, Brinar VV. Avellis syndrome due to borreliosis. Eur J Neurol. 2007;14:112–114.
Nieuwehuys R, Voogd J, van Huijzen C. The Human Central Nervous System. Berlin, Germany: Springer-Verlag; 2008:867–869.
Kim JS, Lee JH, Choi CG. Patterns of lateral medullary infarction: vascular lesion-magnetic resonance imaging correlation of 34 cases. Stroke. 1998;29:645–652.
Prosiegel M, Höling R, Heintze M, et al. The localization of central pattern generators for swallowing in humans—a clinical-anatomical study on patients with unilateral paresis of the vagal nerve, Avellis’ syndrome, Wallenberg’s syndrome, posterior fossa tumours and cerebellar hemorrhage. Acta Neurochir Suppl. 2005;93:85–88.
Walther EK, Alevisopoulos G. Palatolaryngeal hemiplegia in transient brain stem ischemia—a contribution to neurogenic dysphagia. Laryngorhinootologie. 1992;71:588–591.