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Abstract

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Article in Japanese

Case Report

A case of Wallenberg's syndrome and central alveolar hypoventilation caused by lateral medullary infarction

Takahiro Hagaa,b  Mizuki Fukuokaa,b  Mizuo Moritaa  Kohei Choa  Koichiro Tatsumib 

aDepartment of Respiratory Medicine, Nissan Tamagawa Hospital
bDepartment of Respirology, Graduate School of Medicine, Chiba University

ABSTRACT

A 49-year-old male presented with nausea that had developed two hours previously and was admitted for follow-up observation. He was subsequently intubated for severe pneumonia, with the onset of nocturnal hypercapnia following regression of the pneumonia. A tracheotomy was performed, and a neurological examination revealed left Wallenberg's syndrome. Left lateral medullary infarction caused by dissection of the left vertebral artery was identified on magnetic resonance images. Although nocturnal ventilation was continued, the patient was discharged on the 67th day. Nocturnal central alveolar hypoventilation should be taken into consideration with Wallenberg's syndrome.

KEYWORDS

Wallenberg's syndrome  Central alveolar hypoventilation  Respiratory failure 

Received 2 Dec 2014 / Accepted 13 Mar 2015

AJRS, 4(4): 319-322, 2015

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