Aswath Venugopal¹*, Elizabeth J², Sumesh Raj² and Manoj P³

¹Post Graduate Resident, Department of General Medicine, Sree Gokulam Medical College and Research Foundation, India
²Professor, Department of General Medicine, Sree Gokulam Medical College and Research Foundation, India
³Consultant Neurologist, Department of Neuromedicine, Sree Gokulam Medical College and Research Foundation, India

*Corresponding Author: Aswath Venugopal, Post Graduate Resident, Department of General Medicine, Sree Gokulam Medical College and Research Foundation, India.

Received: February 20, 2024; Published: April 17, 2024

Abstract

This is a case of a lady who presented with slurring of speech and swaying while walking for 3 days. She is a known case of Diabetes Mellitus, Hypertension and dyslipidemia and is on treatment for it. Examination showed left side Internuclear ophthalmoplegia and bilateral cerebellar ataxia. MRI showed FLAIR hyperintensity in tegmentum of left caudal midbrain showing diffusion restriction. The patient was diagnosed with Wernekink commissure syndrome based on the clinical features and MRI findings. The patient was started on antiplatelets along with other treatment. The point of interest in this case is it is an extremely rare disease with only few case reports reported and its presentation with bilateral cerebellar symptoms makes it extremely difficult to localize the lesion . Unilateral INO in some cases may help to narrow down the differentials.

Keywords: Wernekink Commissure; INO; Cerebellum; MRI

References

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7. Aswath V. Author’s personal collection, MRI DWI of patient.
8. Aswath V. Author’s personal collection, ADC of patient.
9. Aswath V. Author’s personal collection, MRI FLAIR of patient.

Citation

Citation: Aswath Venugopal., et al. “A Case of Wernekink Commissure Syndrome".Acta Scientific Clinical Case Reports 5.5 (2024): 14-16.

Copyright

Copyright: © 2024 Aswath Venugopal., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.