From the Unité Fonctionnelle de Neurologie (Drs. Lavallee, Vidal, Vidaihet,
and Derkinderen) and Service de Physiologie (Dr. Apartis), Hôpital SaintAntoine, Paris, France.
Received November 13, 2000. Accepted in final form February 24, 2001.
Address correspondence and reprint requests to Dr. Pascal Derkinderen,
Unité Fonctionnelle de Neurologie, Hôpital Saint-Antoine, 184 rue du Faubourg
Saint-Antoine, 75012 Paris, France; e-mail: pascal.derkinderen@sat.ap-hop-paris.fr
Copyright © 2001 by AAN Enterprises, Inc.

References
1. Ramirez-Lassepas M, Tulloch JW, Quinones MR, et al. Acute radicular
pain as a presenting symptom in multiple sclerosis. Arch Neurol 1992;
49:255–258.
2. Uldry PA, Regli F. Syndrome pseudoradiculaire au cours de la sclérose
en plaques: quatre cas avec imagerie par résonance magnétique. Rev
Neurol (Paris) 1992;148:692– 695.
3. Tosi L, Righetti CA, Zanette G, et al. A single focus of multiple sclerosis
in the cervical spinal cord mimicking a radiculopathy. J Neurol Neurosurg Psychiatry 1998;64:277.
4. Noseworthy JH, Heffernan LP. Motor radiculopathy—an unusual presentation of multiple sclerosis. Can J Neurol Sci 1980;7:207–209.

Downloaded from https://www.neurology.org by 185.107.56.163 on 11 April 2024

Neuro Images

Figure. T2-weighted MRI section of the medulla shows an infarct involving the right hemimedulla (A). MR angiography
shows severe stenosis of the terminal segment of the right vertebral artery (B).

The Babinski–Nageotte syndrome
Gabriel R. de Freitas, MD, Jorge Moll, MD,
Abelardo Q.C. Araújo, MD, Rio de Janeiro, Brazil

Almost 100 years ago Babinski and Nageotte described
a case of ischemic lesion involving the hemimedulla.1 Few
cases have been reported since then.2
An 81-year-old woman with hypertension and diabetes
presented with left hemiplegia, reduction of superficial
perception on the right side of the face and on the left side
below the neck, and cerebellar ataxia of the right limbs.

1604 Copyright © 2001 by AAN Enterprises, Inc.

Right Horner’s syndrome, right facial paresis, dysarthria,
hoarseness, dysphagia, and paralysis of the right soft palate and right side of the tongue were present. Cranial MRI
showed a right hemimedullary infarct, and magnetic resonance angiography showed severe stenosis of the right vertebral artery (figure).
1. Babinski J, Nageotte J. Hémiasynergie, latéropulsion et myosis bulbaires avec hémianesthesie et hémiplégie croisées. Rev Neurol (Paris)
1902;10:358 –365.
2. Mossuto-Agatiello L, Kniahynicki C. The hemimedullary syndrome: case
report and review of the literature. J Neurol 1990;237:208 –212.