Wallenberg Syndrome with Associated Motor Weakness in a Two-
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Lateral medullary syndrome (Wallenberg syndrome) is a well-known syndrome involving the posterior circulation of the medulla oblongata predominantly occurring secondary to atherosclerotic occlusion of the vertebral and basilar arteries, with rarer causes being embolism or dissection of the vessel.

A 30-year-old, right-handed female presented 2 weeks postpartum with acute-onset severe headache, vertigo, and vomiting. Initial neurologic examination illustrated lingual dysarthria, horizontal nystagmus, right dysmetria on finger-to-nose testing, and weakness of the extremities. Magnetic resonance imaging showed a large, left lateral medullary infarction (Wallenberg syndrome) with cephalad extension into the ipsilateral pons as well as involvement of the left middle cerebellar peduncle. The patient was discharged 3 weeks later to an inpatient rehabilitation facility with gradual improvement of her symptoms.

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