Table 2

Details of the clinical signs in each patient, plus the brainstem structures involved

Clinical signs
Horner’s syndromeIpsilateral cerebellar signsContralateral pain and temperature loss (below neck)Ipsilateral pain and temperature loss (face)DysphagiaContralateral upper motorIpsilateral tongue weakness
Area related to clinical signs
Level of lesionIpsilateral cerebellumSpinothalamic tractDescending trigeminal nucleus and tractNucleus ambiguusPyramidHypoglossal nucleus
RLM Group:
15YesNoNoYesNo NoNo
24–5YesYesYesYesYesYesNo
33–5YesYesYesYesYesNoNo
43–5YesYesYesYesYesYesNo
53–5YesYesYesYesNo NoNo
63–4YesYesYesYesYesNoNo
74YesYesYesYesNoNoNo
83–4^YesYesYesNo NoNo
94YesYesYesYesYesYesNo
Non-RLM group:
10PonsNoNoNoNoNoNoNo
11PonsNoNoYesYesNoNoNo
12PonsYesYesNoNoNo NoNo
132–4* NoNoNoNoYesYesYes
141* YesYesYesYesNoYesNo
15CYesYesNoNoNoNoNo
  • Location of the lesion (primarily determined by the clinical findings) is given for each patient in the rostrolateral medulla (RLM) and the Non-RLM group. Numbers 1–5 refer to levels of the medulla shown in fig 1. In the Non-RLM group, 13 and 14 had lesions in the medulla, although not in the rostro lateral area (*). Signs of dysphagia had been present but resolved at the time of the study (). Information on Horner’s syndrome not given in the clinical notes; none at time of study (^). Cerebellum (C).