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Medial medullary syndrome due to vertebral artery dissection
  1. D LEPPERT,
  2. E-W RADUE
  1. Departments of Neurology and Neuroradiology, University Hospitals, Petersgraben 4, CH-4031 Basel, Switzerland
  1. David Leppert MD David.Leppert{at}unibas.ch

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A 61 year old woman presented at the emergency ward with a 3 day history of fluctuating vertigo and lateropulsion to the right. Clinical examination showed slurred speech, conjugated right beating horizontal nystagmus in primary gaze that increased on gaze to the right, and a right sided tongue paresis (figure A). In addition, slight motor weakness, decreased joint position, and vibration sense on the left arm were present. During the next 4 hours a …

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