Authors: Alencar Júlio César Garcia, Pereira Amanda Batalha, Ribeiro Sabrina Correa da Costa, BrandaoNeto Rodrigo Antonio, Marchini Julio Flavio Meirelles, Souza Heraldo Possolo.
There are a variety of stroke syndromes with often overlapping clinical presentations. When ipsilateral hemiplegia is associated with symptoms of a lateral medullary syndrome, it corresponds to the submedullary syndrome of Opalski. A 32-year-old woman presented with sudden onset neck pain, headache, vertigo, and vomiting. Her clinical status gradually deteriorated. Computed tomography angiography showed signs of critical stenosis of the V3 segment of the left vertebral artery. Magnetic resonance angiography displayed restricted diffusion in the posterolateral portion of the bulb and in the left cerebellar hemisphere. Opalski syndrome is a rare condition that could develop in patients with Wallenberg ‘plus’ syndrome, and neuroimaging studies to identify arterial disease and brain stem lesions should be performed.
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