Babinski-Nageotte-Syndrom

Babinski-Nageotte syndrome is thought to be a brainstem stroke syndrome in between that of the hemimedullary syndrome (Reinhold syndrome) and the lateral medullary syndrome (Wallenberg syndrome) .

Terminology

In many texts this eponymous syndrome is incorrectly used synonymously with hemimedullary syndrome which, although related, is a clinically distinct syndrome .

Clinical presentation

Babinski-Nageotte syndrome is considered to be a spreading of the “Wallenbergian” lateral lesion to the corticospinal pathway resulting in the lateral medullary syndrome with contralateral hemiparesis/hemiplegia .

Pathology

Babinski-Nageotte syndrome is usually caused by an ischemic stroke, often due to occlusion of intracranial portion of the vertebral artery, followed by PICA and its branches .

Radiographic features

Lesions are in medulla with imaging characteristics depending on underlying cause.

History and etymology

The syndrome was first described by Joseph Babinski (1858-1932) and Jean Nageotte (1866-1948), French physicians, in 1902 .

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