2017/03/07 by Deborah De Bruyn, De Bruyn, Deborah, Elisabeth Van Aken +3
Medicine · #610 Medical sciences #Cerebral Venous Sinus Thrombosis #Glaucoma and retinal disorders #Medicine #Ophthalmology and Eye Disorders #Wallenberg’s syndrome #central facial palsy #dorsolateral medullary infarction #medulla oblongata #sicca keratopathy #subclavian steal syndrome #superior salivatory nucleus #supranuclear facial palsy
paper · doi:10.3205/oc000059
openalex publication_date 2017/03/07 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/20
A dorsolateral medullary syndrome can have a variable expression in symptomatology. Our case is special because of the combination of an ipsilateral supranuclear facial palsy with normal upper facial muscle function together with an ipsilateral sicca keratopathy as a result of a nearly absent tear secretion. We hypothesized that the mechanism underlying the patient's sicca keratopathy ipsilateral to the supranuclear facial palsy involved the superior salivatory nucleus, which is situated in the caudal pons inferiorly of the motor facial nucleus and is most probably affected by a superior extension of the infarcted area in the right medulla oblongata.