Abstract:
BACKGROUND:Dorsolateral medullary infarction (Wallenberg syndrome) is rare in clinical practice; however, the subsequent corneal lesions are more uncommon. To our knowledge, only one such case was previously reported. We report a similar case with successful treatment and recovery, and analyse both cases to address the clinical features and outcomes of such syndrome. CASE PRESENTATION:A 43-year-old male presented with neurotrophic keratopathy one month after sustaining dorsolateral medullary infarction. The patient underwent amniotic membrane transplantation twice. Two-year follow-up observation revealed changes in nerve fibers and epithelial cells of corneal by laser confocal microscopy. CONCLUSION:By studying both cases, we confirm that neurotrophic keratopathy could be as a delayed-onset complication of Wallenberg syndrome. The recognition that neurotrophic keratopathy can follow dorsolateral medullary infarction could prevent the clinical misdiagnosis.
journal_name
BMC Neuroljournal_title
BMC neurologyauthors
Wu S,Li N,Xia F,Sidlauskas K,Lin X,Qian Y,Gao W,Zhang Qdoi
10.1186/s12883-014-0231-ysubject
Has Abstractpub_date
2014-12-04 00:00:00pages
231issn
1471-2377pii
s12883-014-0231-yjournal_volume
14pub_type
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