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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The clinical features of lateral medullary syndrome can be divided into those resulting from brainstem or cerebellar dysfunction:

Cerebellar features:

  • ipsilateral limb ataxia
  • vertigo
  • nystagmus to the side of the lesion - due to damage to the vestibulo-ocular connections

Brain stem features:

  • sudden onset of dizziness and vomiting - due to the involvement of vestibular and vagal nuclei respectively
  • dysphagia and dysarthria - due to lesion to the nucleus ambiguus and vagal nuclei
  • ipsilateral Horner's syndrome
  • ipsilateral facial sensory loss - pain and temperature
  • ipsilateral pharyngeal and laryngeal paralysis - cranial IX and X palsies
  • contralateral sensory loss - pain and temperature of the limbs and trunk

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