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April 1970

Acute Bulbar Disturbance (Embolus of the Left Posterior Inferior Cerebellar Artery?)

Arch Neurol. 1970;22(4):380-382. doi:10.1001/archneur.1970.00480220094013

This case report of an acute lesion in the medulla oblongata requires some justification since my observations thus far have been only clinical. However, the characteristic clinical picture, which can be easily recognized by a group of striking symptoms, will provide a certain interest in the following case history....

[The detailed case history is presented, and then the following recapitulation:]

A 38-year-old man, with poor vision caused by a preexisting ocular condition (cataract on the left side, corneal scarring and anterior synechia on the right side...)...suffered an attack of vertigo without loss of consciousness. At the same time he developed pain and hyperesthesia on the left side of the face and body, hypesthesia of the right half of the face, and loss of pain and temperature sensitivity in the right extremities and the right half of the torso, with retention