Lateral and Medullary Syndromes | Wallenberg Syndrome | PICA syndrome | Dejerine Syndrome

[@ashutoshsharmash]

Very well explained.
Just something, I'd like to add to this is the Gates rule of 4 by Dr. Robert Gates.
The 1st rule is about cranial nerves.
So there are 4 cranial nerves in each brainstem structure.
CN 3 and 4 in the midbrain
CN 5,6,7,8 in the pons
CN 9,10,11, 12 in the medulla.
All multiples of 12 are in the midline, so CN 3, 4, 6 and 12 are midline, and they are also, by extension, the only pure motor cranial nerves.
Rule 2
All structures starting with M are in the Midline
And from posterior to anterior they are
MN- Motor nuclei- 3,4,6,12
MLF- Medial longitudinal fasiculus
ML- Medial Leminiscus
MP- Motor pathway
So any midline brainstem lesion, like medial medullary syndrome, will involve these structures.
MN- Ipsilateral Cranial nerve lesion
MLF- Ipsilateral INO- So inability to adduct ipsilateral eye and nystagmus in the the contralateral eye
ML- Contralateral loss of vibrio and proprioreception.
MN- Contralateral hemiplegia.
Rule 3
All structures starting with S are to the Side or lateral
And from posterior to anterior they are
Spinocerebellar tract
Spinothalamic tract
Sensory nucleus of 5th CN
Sympathetic neurons
The mnemonic is CTVS
So any lateral brainstem syndrome will involve
Spinocerebellar- contralateral ataxia
Spinothalamic-
Contralateral loss of pain and temperature
CN sensory nucleus
Ipsilateral loss of pain and temperature over face.
Sympathetic neurons
Ipsilateral Horners syndrome.
In addition, a lateral pontine lesion will involve- CN 5,7,8
A lateral medullary lesion will involve- CN 9,10,11
A lateral midbrain lesion will have no cranial nerve involvement.

[@عزالدينالشيخسليمان]

Very well explained, effective overview of neuroanatomy and clear explanation of the pathology and clinical findings, I like that you are mentioning the side of each abnormality.. thank you very much

[@drrameshkrishnanpmch10k]

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[@AKAzad-cd4jp]

Easy and well explained. Highly recommended

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@saugatpokhrel8436]

Yes we need IN. Opthalmoplegia video

[@hassanes3360]

The only explanation of this topic that i understood

[@waleedsiddique7043]

Very well explained ❤

[@daucuscarotasativus]

Amazing!! Thank you. This was incredibly helpful!!

[@songheartzou7423]

讲得非常好!简明扼要，突出重点

[@demigodsrivats5027]

pro max teaching bhai…..❤️‍🔥❤️‍🔥❤️‍🔥❤️‍🔥❤️‍🔥❤️‍🔥

[@tejeshwarsingh9069]

Bro this was better than anything ive ever seen

[@jaypandya9661]

Simply clear. Superb.

[@shamsunnahar3481]

It's very helpful.awesome.Thanks

[@nush727]

This was absolutely amazing. Thank you so very much!

[@yugandharsajja297]

Very good Explanation👌👌👍🙏. Thank you.

[@CryptoUniversity-u2g]

Awesome lecture thanks a lot 😍

[@Dushmantha18]

Very well explained👏

[@jishagpanicker8171]

Wonderfuly explained 👌🏼

[@drrameshkrishnanpmch10k]

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[@sameehailyas8524]

Simply superb 👌

[@drrameshkrishnanpmch10k]

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[@hansiniwithana1904]

Wow. Nice explanation. Thank you❤

[@adityaanurag4272]

Yes we need. Intranuclear opthalmoplegia

[@jesin6171]

Can't thank you enough for this 💜

[@fridaatallah8301]

You are the best 😍
Tons of thanks

[@palakburman2547]

Thank you so much for such easy explanations and easily retainable videos. 🙏🏼

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@jatinderkumar5864]

Thanks a lot👏👏

[@monikasangam967]

Thank u so much sir, i have understood every point much clearly ,i have always been in doubt to this topic.now all my fear related to this topic has gone. Thank u so much again

[@CrazyMedicine]

You are most welcome. Keep sharing.

[@ashajsaleem3556]

Neatly explained. Thank you.

[@dr.liyahkhan6662]

Super helpful and conceptual now I don't have to memorize sign and symptoms individually

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@laxmireddy7824]

Lots of love from India bro😍, thank you so much, crystal clear concept with awesome notes for recall 🙌

[@CrazyMedicine]

😊Glad you liked it.
Keep sharing. 😀

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@aurum6664]

@@CrazyMedicine hello sir so lateral medullary has no corticospinal tract?

[@vj7207]

Nicely explained...thank you

[@zahramohammedhamedalmahroo1548]

thank you soooooo much for this amazing video..love it

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@sarah8844]

best ever!!!!
thanks doc
🇵🇰

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@fridaatallah8301]

Yes please will be very thankful if u do INO video

[@angrant2014]

Thank you. Very well done -- I get it now. 🙂

[@sudiptodebnath6579]

Great❤❤❤

[@arifmahmood452]

excellent explanation

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@rahipatel4037]

Internuclear ophthalmoplegia video needed

[@DR_HARIS_KHAN]

Beautiful work brother

[@rahipatel4037]

amazing sir

[@zohakamran3173]

Extremely good video

[@sweetmishoo190]

Thank you very helpful

[@Susmithasuraparaju]

Please do video on internuclear ophthalmoplegia

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@silentheart8329]

Very well explained 👍👍👍👍👍please upload also pontine syndrome also🙏

[@CrazyMedicine]

Sure I will.

[@silentheart8329]

@@CrazyMedicine thank you so much 💛💛💛💛

[@iiztsii8312]

best Video broo 💯💯

[@yousramokhtari3251]

the best from Algeria thank you

[@ezhilmathia3790]

Nice explanation

[@drvinay_ambekar]

in Wallenberg syndrome m/c artery affected is Vertebral art > PICA

[@anwarhossein9658]

Excellent

[@CrazyMedicine]

Thanks

[@fejirotalks]

such a good video thank you so much!

[@kovalchuk71]

@crazy medicine would you kindly create a video on medial and lateral pontine syndromes? I really enjoy your illustrations!!!

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@Mindful_resting]

Amazing video .

[@messy_desk]

AMAZING WORKKKK

[@muditsharma1248]

Awsm

[@rashakutbi]

thank you very much

[@alaskababy4235]

Wait...INO in medullary lesion?? Isnt it happening in lesions involving either midbrain and pons?? That got me confused

[@paediatricspotcases5220]

Ino if left side it is adduction of right eye not happened

[@dr.md.atiqurrahman4802]

Just awesome.....

[@shivangiRAINA]

thankyou very much sir !

[@CrazyMedicine]

Keep watching

[@lyateddyo1535]

Thank you ☺️

[@allahhuakbar7362]

Bestttt 🎉

[@shahzaibihsan3259]

Thank you so much!

[@CrazyMedicine]

Glad it helped!

[@anniemishra3351]

Best video

[@garimasinghprajapati2681]

Great.

[@yoaimou9798]

Thanx man this is cool

[@Mano-i7q]

Thank uuuu❤❤❤

[@tahiafaruk128]

awesome!

[@omarbassam821]

amazing

[@Iamsurvived]

Amazing!

[@himanshikaushik6599]

Make more videos 👍

[@drrameshkrishnanpmch10k]

th-cam.com/video/DLT1nRGQoNQ/w-d-xo.html

[@aakarshmarthati197]

You are God sir❤️

[@laura3483]

thank you soooooo much

[@AshishDhar-l3g]

Excellen

[@jyotikomal22]

thank you for this video

[@dr.anooparyan007]

Why the tongue is deviated to same side of the lesion in medial medullary syndrome please explain sir
Thank you

[@jaypandya9661]

Bec contraction of one side of tongue makes tip of tongue to point or deviate opposite side normally. Paralysis of one side makes tongue contract to opposite side unabated hence is deviated to opposite side n same side appears as corrugated noodles.

[@rileyrice2908]

Thanks alot

[@mel3509]

Thank you!

[@himanshikaushik6599]

Thanks sir

[@themusicdoctor9557]

🙌

[@seeliasaneesh5874]

Thank u doc

[@fatemefarhoudi2638]

Thank you for the great video!

[@user-hq5gs8kg1b]

Thank youuuuuu

[@amanyelashry7400]

Thanks

[@arunsharma3016]

Ant spinal artery post inf cerebellar art

[@ignitedmedical7415]

ty!

[@natarajanmanickam5119]

Excellent

[@hasanalmamun1774]

Thanks

[@deepthagayanwelagedara912]

thanks