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Wallenberg's Syndrome

Wallenberg’s syndrome is a neurological condition caused by a stroke in the vertebral or posterior inferior cerebellar artery of the brain stem.  Symptoms include difficulties with swallowing, hoarseness, dizziness, nausea and vomiting, rapid involuntary movements of the eyes (nystagmus), and problems with balance and gait coordination.  Some individuals will experience a lack of pain and temperature sensation on only one side of the face, or a pattern of symptoms on opposite sides of the body – such as paralysis or numbness in the right side of the face, with weak or numb limbs on the left side.  Uncontrollable hiccups may also occur, and some individuals will lose their sense of taste on one side of the tongue, while preserving taste sensations on the other side.  Some people with Wallenberg’s syndrome report that the world seems to be tilted in an unsettling way, which makes it difficult to keep their balance when they walk. 

Treatment

Treatment for Wallenberg's syndrome is symptomatic. A feeding tube may be necessary if swallowing is very difficult.  Speech/swallowing therapy  may be beneficial. In some cases, medication may be used to reduce or eliminate pain.  Some doctors report that the anti-epileptic drug gabapentin appears to be an effective medication for individuals with chronic pain. 

Prognosis

The outlook for someone with Wallenberg’s syndrome depends upon the size and location of the area of the brain stem damaged by the stroke.  Some individuals may see a decrease in their symptoms within weeks or months.  Others may be left with significant neurological disabilities for years after the initial symptoms appeared. 

Research

The National Institute of Neurological Disorders and Stroke (NINDS) conducts research related to Wallenberg’s syndrome in its laboratories at the National Institutes of Health (NIH), and also supports additional research through grants to major medical institutions across the country.  Much of this research focuses on finding better ways to prevent, treat, and ultimately cure disorders such as Wallenberg’s syndrome.

Organizations

National Organization for Rare Disorders (NORD)
Federation of voluntary health organizations dedicated to helping people with rare "orphan" diseases and assisting the organizations that serve them. Committed to the identification, treatment, and cure of rare disorders through programs of education, advocacy, research, and service.

55 Kenosia Avenue
Danbury, CT 06810
orphan@rarediseases.org
http://www.rarediseases.org
Tel: Danbury
Fax: 203-798-2291

American Heart Association
National voluntary health agency whose mission is to reduce disability and death from cardiovascular diseases and stroke.

7272 Greenville Avenue
Dallas, TX 75231-4596
inquiries@heart.org
http://www.heart.org
Tel: Dallas

National Stroke Association
National non-profit organization that offers education, services and community-based activities in prevention, treatment, rehabilitation and recovery. Serves the public and professional communities, people at risk, patients and their health care providers, stroke survivors, and their families and caregivers.

9707 East Easter Lane
Suite B
Centennial, CO 80112-3747
info@stroke.org
http://www.stroke.org
Tel: Centennial
Fax: 303-649-1328

National Rehabilitation Information Center (NARIC)

8201 Corporate Drive
Suite 600
Landover, MD 20785
naricinfo@heitechservices.com
http://www.naric.com
Tel: Landover
Fax: 301-562-2401

Content Provided By

NINDS Disorders is an index of neurological conditions provided by the National Institute of Neurological Disorders and Stroke. This valuable tool offers detailed descriptions, facts on treatment and prognosis, and patient organization contact information for over 500 identified neurological disorders.

Neurological Disorders and Stroke »