Pan African Medical Journal

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Dysphagia caused by a lateral medullary infarction syndrome (Wallenberg’s syndrome)

A El Mekkaoui, H Irhoudane, A Ibrahimi, M El Yousfi


A 68-year-old man was referred to our hospital for a dysphagia evolving for 10 days. Clinical examination had found neurological signs as
contralateral Horner’s syndrome, ipsilateral palatal paresis, gait ataxia and hoarseness. Video-fluoroscopy showed a lack of passage of contrast
medium to the distal esophagus. Esogastroduodenoscopy was normal. The cranial MRI had shown an acute ischemic stroke in the left lateral medullar region and the diagnosis of Wallenberg syndrome (WS) was established. WS remains an unknown cause of dysphagia in the clinical practice of the gastroenterologist.

Key words: Dysphagia, lateral medullary infarction, Wallenberg’s syndrome, deglutition

AJOL African Journals Online