
parshwa medullary syndrome

parshwa medullary syndrome anedi medadu yokka medadu bhaagamlooni medullah ablongata yokka parshwa bhaagamlo ischemia kaaranamgaa aneka rakaala lakshanaalanu kaliginche naraala sambandhita rugmata. ischemia anedi vennupuusa dhamani ledhaa venuka diguva cerebellar dhamani loe saadhaaranamgaa addanki phalitamgaa vastundi. parshwa medullary syndromenu wallenberg syndrome, posterior heenamaina cerebellar artary (pica) syndrome mariyu vennupuusa artary syndrome anie kooda pilustaaru.
sankethaalu mariyu lakshanaalu.
eee syndromelo trunk mariyu antya bhaagaalanu viruddhamgaa (gaayaaniki vyatiraekamgaa) prabhaavitam chese indriya lopaalu mariyu mukham mariyu kapaala naraala yokka indriya lopaalu (gaayaaniki adhe vaipu) untaayi. parshwa spinotholomic tract prameyam unte mukhyamgaa noppi mariyu ushnograta anubhootini kolpovadam. cross boddy finding anedi rooga nirdhaarana cheyagala pradhana lakshanam.
rogulaku tarachugaa nadavadaniki ledhaa samatulyatanu nirvahinchadaaniki ibbandi untundi (ataxia), ledhaa sariiramlooni yea vaipu ververu ushnogratalu unna vastuvu taakutunnaayane daani aadhaaramgaa oka vastuvu yokka ushnogratalo vyatyaasam untundi. kontamandi rogulu valuga nadavavacchu ledhaa vakra vichalanam mariyu gadhi vampu yokka bhramalanu anubhavinchavacchu. nistagmus saadhaaranamgaa vertigo mantraalatho mudipadi untundi. eee vertigo spells padipovadaaniki daariteeyavachchu, idhi devata yokka kendrakam yokka praantam yokka prameyam valla sambhavistundi.
parshwa medullary syndromtho saadhaarana lakshanaalu mingadamlo ibbandi ledhaa diasphagea undavacchu. idhi kendrakam yokka prameyam valla sambhavinchavachhu, endukante idhi vagus mariyu glosopharyngeal naraalanu sarafara chestundi. aspashtamaina prasangam (disorthria), mariyu kramarahitamaina swara naanhyata (dysphonia) kooda saadhaaranam. cerebellum ledhaa takkuva sthaayi cerebellar pedankil debbatinadam ataxiaku kaaranam kaavacchu. hypothalamospinal fiberlaku nashtam saanubhootigala naadii vyavastha rileku antaraayam kaligistundi mariyu myosis, unhydrosis mariyu pakshika tossis vanti horner syndrome valla kalige lakshanaalanu pooli unde lakshanaalanu istundi.
kendra tegmental tract antaraayam kaaranamgaa noti kandaraala kadalika ayina palatal myoclonus gamaninchavacchu. itara lakshanaalu gonthu noppulu, vikaram, vaantulu, chemata taggadam, shareera ushnograta anubhooti, maikamu, nadavadamlo ibbandi mariyu samatulyatanu nirvahinchadamlo ibbandi. parshwa medullary syndrome kooda broadikaardiyaaku kaaranam kaavacchu, idhi nemmadigaa hridaya spandana raetu, mariyu roogi sagatu raktapotulo perugutundi ledhaa taggutundi.
kaaranam.
idhi prushtha diguva cerebellar artary (pica) ledhaa daani saakhalalo okati ledhaa vennupuusa dhamani yokka nirodham phalitamgaa kalige clinical abhivyakti, dheenilo medullah ablongata infract yokka parshwa bhaagam, phalitamgaa oka saadhaarana namuunaa erpadutundi. atyanta saadhaaranamgaa prabhaavitamaina dhamani pica, mukhyamgaa parshwa medullary vibhagam. 
rooga nirdhaarana.
parshwa medullary syndrome tarachugaa stroke valla sambhavistundi kabatti, rooga nirdhaarana samayam meeda aadharapadi untundi. medullaalo ekkada infraction sambhavinchindo nirnayinchadaaniki westibular-sambandhita lakshanaalanu anchanaa veyadam dwara roganirdhaarana saadhaaranamgaa jarugutundi. stroke gurtinchadamlo sahaayapadataaniki computed tomography (siti) ledhaa magnetic resonance imaging (mri) thoo paatu occulomotor function yokka vakra (suuchanalu) pareeksha yokka head impulsive nistagmus pareeksha tarachugaa nirvahinchabadutundi. concussion ledhaa itara thala gaayam undakudadani nirdhaarinchadaaniki praamaanika stroke anchanaa veyali.
chikitsa.
parshwa medullary syndrome chikitsa anedi adhi entha twaragaa gurtinchabadutundane daanipai aadharapadi untundi. parshwa medullary syndrome chikitsalo rogulu vaari rojuvaaree kaaryakalaapaalaku tirigi raavadaaniki sahaayapadataaniki lakshanaala upasamanam mariyu kriyaaseela punaraavaasampai drushti pettadam untundi. chaalaa mandhi rogulu speach therapyki guravutaaru. prarambha lakshanaala daadi taruvaata rogulalo niraasaku guraina manasika sthithi mariyu samajam nundi vaidolagadam chudavachu.
marinta teevramaina sandarbhaallo, noti dwara feeding tubenu choppinchaalsina avasaram undavacchu ledhaa mingadam balaheenamgaa unte gastrostomy avasaram kaavacchu. konni sandarbhaallo, migilina noppini tagginchadaaniki ledhaa tolaginchadaaniki mandulanu upayoginchavacchu. gabapentin vanti muurcha-nirodhaka mandulatho syndromeku sambandhinchina deerghakaalika naralavyadhi noppini tagginchadamlo konni adhyayanalu vijayanni nivedinchaayi. deerghakaalika chikitsalo saadhaaranamgaa aspirin ledhaa clopidogrel vanti antiplateletlanu upayoginchadam mariyu maroka stroke pramaadaanni tagginchadaaniki vaari jeevitaantam statin niyamaavalini upayoginchadam untundi. karnika dada unte warfarin upayoginchabadutundi. adhika raktapotu mariyu strokelatho sambandham unna pramaada kaarakaalanu anichivesenduku itara mandulu avasaram kaavacchu. infraction vichchinnam cheyadaaniki mariyu rakta pravahanni tirigi sthaapinchadaaniki mariyu bhavishyattulo infractionlanu nivaarinchadaaniki prayatninchadaaniki rogiki blood sannabadela suuchimchavachchu.
wallenberg syndrome kaaranamgaa sambhavinche atyanta asaadhaaranamaina mariyu chikitsa cheyadaaniki kashtamaina lakshanaalalo okati antuleni, himsaatmaka ekkillu. ekkillu chaalaa teevramgaa untaayi, rogulu tarachugaa tinadaaniki, nidrinchadaaniki mariyu sambhaashanhalu konasaaginchadaaniki kashtapadataru. stroke valla kalige addanki yokka teevratanu batti, ekkillu vaaraala paatu konasaagavacchu. duradrushtavasaattu nirantara ekkilla asoukaryaaniki madhyavartitvam cheyadaaniki chaalaa takkuva vijayavantamaina mandulu andubaatulo unnaayi.
diasphagea lakshanaala kosam, punaraavruta transcronial magnetic stimulation punaravasamlo sahaayapadutundani choopabadindi. mottammeeda, saampradaaya stroke anchanaa mariyu phalitaalu rogulaku chikitsa cheyadaaniki upayoginchabadataayi, endukante parshwa medullary syndrome tarachugaa parshwa medullaalo stroke valla sambhavistundi.
eee rugmataku chikitsa aandolana kaligistundi endukante kontamandi vyaktulu addanki yokka teevrata mariyu infraction unna pradaesam kaaranamgaa ellappuduu avashesha lakshanaalanu kaligi untaaru. stroke sambhavinchina ventane iddaru rogulu oke prarambha lakshanaalatoo undavacchu, conny chaalaa nelala tarvaata oka roogi puurtigaa kolukovachhu, marokaru inca teevramgaa vikalangulai untaaru. phalitamlo eee vaividhyam inforction parimaanam, inforction unna pradaesam mariyu daani valla entha nashtam jarigindane daaniki matrame parimitam kakapovachhu.
rooga niruupana.
parshwa medullary syndrome unna vyakti yokka drukpatham stroke valla debbatinna medadu kaandam yokka praantam yokka parimaanam mariyu sthaanampai aadharapadi untundi. kontamandi vyaktulu vaaralu ledhaa nelallo vaari lakshanaalu taggadam chudavachu. itarulu prarambha lakshanaalu kanipinchina tarvaata samvatsaraala tarabadi gananeeyamaina naraala vaikalyaalato migilipovacchu. ayithe, 85 saataaniki paiga rogulu asalu stroke samayam nundi aaru nelallo kaneesa lakshanaalanu chuusaaru, mariyu oka samvatsaramlopu swatantramgaa sagatu roojuvaareeni saadhinchagaligaaru.
epidemiology.
parshwa medullary syndrome anedi posterior ischemic stroke syndrome yokka atyanta saadhaarana roopam. okka united stateslone eee syndrome yokka sumaru 6,00,000 kotta kesulu unnayani anchanaa. parshwa medullary syndromeku mottam meeda atyadhika pramaadam unnavaaru sagatu vayassu 55.06 unna purushulu. adhika raktapotu, madhumeham mariyu dhumapanam charitra unna vaarandaruu pedda dhamani atherosclerosis pramaadaanni penchutaaru. collustroll, kovvu padaarthaalu, cellular vyardha utpattulu, calcium mariyu fibrin niksheepaalu kaaranamgaa pedda dhamani atherosclerosis anedi parshwa medullary syndromeku atipedda pramaada karakamga bhaavinchabadutundi. lekapothe dhamanulalo phalakam erpadatam anie pilustaaru.
charitra.
lateral medullary syndrome yokka mottamodati vivarananu aaa samayamlo gamaninchina lakshanaalanu vivaristuu landanlooni medical und chirargical societylo gaspard viewsex raasaaru. 1895loe adolph wallenberg thana modati kesu nivedikanu puurti chesina taruvaata eee sankethaalanu marinta balopetam chesaadu. athanu gaayam yokka khachitamaina sthaanikeekarana cheyagaligadu mariyu postmortem pareeksha tarvaata ventane daanini niroopinchaadu. wallenberg parshwa medullary syndrome gurinchi maroe moodu prachurita kathanaalanu saadhinchaadu.
adolph wallenberg.
adolph wallenberg oka prasiddha naraala shaastravetta mariyu naraala kanajaala nipunudu, ayana parshwa medullary syndrome yokka clinical vivaranalaku vistrutamgaa prasiddhi chendaaru. 1886loe leapsig vishwavidhyaalayamlo doctorate puurti chesina ayana 1928 natiki danzigloni city aasupatrilo sahayakudiga 2 samvatsaraalu (1886-1888), antargata mariyu manasika vibhagala directorga 21 samvatsaraalu (1907-1928) mariyu naamamaatrapu professorga 18 samvatsaraalu (1910-1928) gadiparu. 1929loe, shareera nirmaana shaastram, sareeradharma shaastram mariyu naadii vyavastha yokka pathology rangamlo ayana chesina krushiki gaanu wallenberg erb smaaraka patakaanni andukunnaru.
1885loe wallenberg yokka modati roogi 38 yella purushudu, vertigo, timmiri, noppi mariyu ushnograta sunnitatvam kolpovadam, bahula pradaesaala pakshavaatam, ataxia mariyu marinni lakshanaalatoo unnadu. neuroanatamylo athani nepathyam roogi yokka gayanni parshwa medullaaku sarigga gurtinchadamlo sahaayapadindi mariyu daanini ipsilateral posterior heena mastishka dhamani yokka addankini anusandhaaninchindi. 1899loe thana roogi maraninchina taruvaata, postmortem pareeksha tarvaata athanu thana phalitaalanu niroopinchagaligaadu. athanu chaalaa mandhi rogulatho thana panini konasaginchadu mariyu 1922 natiki athanu thana 15va rogiki clinicopathological sahasambandhaalanu nivedinchaadu. 1938loe adolph wallenberg german aakramana kaaranamgaa vaidyudigaa thana vruttini muginchavalasi vachindi. naajeelu adhikaaramloki vachinappudu, ayana parisoedhanaa prayogasaala nundi tolaginchabaddaaru, ayana yoodudu kabatti pani maaneyavalasi vachindi. athanu 1938loe grate britanku valasa vacchaadu, taruvaata 1943loe united statesku makaam marchadu.

