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What do most of these activities depend upon. В Ipsilateral Horner syndrome (miosis, ptosis, anhidrosis, flushing of face) в Descending hypothalamospinal fibers Deficits Structure Damaged в Contralateral hemiplegia of arm and leg в Pyramid (cortico- spinal fibers) в Nausea, diplopia, tendency to fall to ipsilateral side, nystagmus, vertigo в V estibular nuclei (mainly inferior and medial) в Contralateral loss of position sense, vibratory sense and discriminative touch в Medial lemniscus в Deviation of tongue to ipsilateral side when protruded; muscle atrophy and fasciculations в Hypoglossal nerve in medulla or hypo- glossal nucleus Comment Comment The medial medullary syndrome is rare compared to the more common occurence of the lateral medullary syndrome.
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