Diagnosis and Management of a Patient with Wallenberg Syndrome

I Putu Eka Widyadharma, Ismail Setyopranoto

Abstract: We report an old man who has main complaint suddenly first onset of central type vertigo and imbalance with tendency to fall to left side, hearing loss on left ear, numbness of left face and right side of his body, weakness in the left face, dysphagia with nausea and vomitus, dysphonic, tachycardia and difficulties of breath ness with sudden onset. Physical examination found horizontal nystagmus, ptosis and miosis in left eye (Horner syndrome), tachycardia and dyspnea, multicranial nerve palsies in left side, thermanesthesia in right side of body. From all examination, this patient diagnosed as Wallenberg Syndrome. With a proper conservative treatment, patient was discharded from hospital with minimum disabillities

Keywords: vertigo, stroke, horner syndrome, wallenberg syndrome