Consilium MedicumConsilium MedicumConsilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum64288010.26442/20751753.2024.11.203020ArticlesСтатьиReview ArticleWallenberg–Zakharchenko syndrome in vascular neurology emergency care: A reviewСиндром Валленберга–Захарченко в неотложной ангионеврологииhttps://orcid.org/0000-0001-6061-8118KuleshAleksey A.КулешАлексей Александрович
Russian Federation

D. Sci. (Med.)

д-р мед. наук, проф. каф. неврологии и медицинской генетики ФГБОУ ВО «ПГМУ им. акад. Е.А. Вагнера», зав. неврологическим отд-нием для больных с острыми нарушениями мозгового кровообращения Регионального сосудистого центра ГАУЗ ПК «ГКБ №4»

aleksey.kulesh@gmail.comhttps://orcid.org/0000-0003-2670-4172DeminDmitry A.ДёминДмитрий Алексеевич
Russian Federation

Cand. Sci. (Med.)

канд. мед. наук, врач-невролог

aleksey.kulesh@gmail.comVagner Perm State Medical UniversityФГБОУ ВО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава РоссииCity Clinical Hospital №4ГАУЗ ПК «Городская клиническая больница №4»Federal Center for Cardiovascular SurgeryФГБУ «Федеральный центр сердечно-сосудистой хирургии» Минздрава России161220242611Neurology and rheumatologyНеврология и ревматология7117181212202412122024Copyright ©; 2024, Consilium MedicumCopyright ©; 2024, ООО "Консилиум Медикум"2024Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://consilium.orscience.ru/2075-1753/article/view/642880

Wallenberg–Zakharchenko syndrome associated with lateral medullary infarction has been known to neurologists since the end of the 19th century. However, to this day, its diagnosis is challenging due to the polymorphic, atypical, and rapidly changing clinical manifestations. Timely verification of the syndrome provides essential information regarding its etiology and also prevents serious complications. The paper presents clinical and anatomical correlates of lateral medullary infarction, its etiology, features of the clinical presentation, complications, and prognosis. In conclusion, a diagnostic algorithm that can be used in everyday practice is given.

Синдром Валленберга–Захарченко, связанный с латеральным медуллярным инфарктом, известен неврологам с конца XIX в., однако и по настоящий день его диагностика является трудной клинической задачей. Это связано с полиморфизмом, атипичностью и динамичностью клинических проявлений заболевания. При этом своевременная верификация синдрома несет важную информацию в отношении его этиологии, а также позволяет предотвратить серьезные осложнения. В статье представлены клинико-анатомические корреляты латерального медуллярного инфаркта, рассмотрены его этиология, особенности клинической картины, осложнения и прогноз. В завершение приведен диагностический алгоритм, который можно использовать в повседневной практике.

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