Clinical signs | ||||||||
---|---|---|---|---|---|---|---|---|
Horner’s syndrome | Ipsilateral cerebellar signs | Contralateral pain and temperature loss (below neck) | Ipsilateral pain and temperature loss (face) | Dysphagia | Contralateral upper motor | Ipsilateral tongue weakness | ||
Area related to clinical signs | ||||||||
Level of lesion | Ipsilateral cerebellum | Spinothalamic tract | Descending trigeminal nucleus and tract | Nucleus ambiguus | Pyramid | Hypoglossal nucleus | ||
RLM Group: | ||||||||
1 | 5 | Yes | No | No | Yes | No† | No | No |
2 | 4–5 | Yes | Yes | Yes | Yes | Yes | Yes | No |
3 | 3–5 | Yes | Yes | Yes | Yes | Yes | No | No |
4 | 3–5 | Yes | Yes | Yes | Yes | Yes | Yes | No |
5 | 3–5 | Yes | Yes | Yes | Yes | No† | No | No |
6 | 3–4 | Yes | Yes | Yes | Yes | Yes | No | No |
7 | 4 | Yes | Yes | Yes | Yes | No | No | No |
8 | 3–4 | ^ | Yes | Yes | Yes | No† | No | No |
9 | 4 | Yes | Yes | Yes | Yes | Yes | Yes | No |
Non-RLM group: | ||||||||
10 | Pons | No | No | No | No | No | No | No |
11 | Pons | No | No | Yes | Yes | No | No | No |
12 | Pons | Yes | Yes | No | No | No† | No | No |
13 | 2–4* | No | No | No | No | Yes | Yes | Yes |
14 | 1* | Yes | Yes | Yes | Yes | No | Yes | No |
15 | C | Yes | Yes | No | No | No | No | No |
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).