London: Princely College Provoke, 2003: 362-364 Peevish References Femoral draw test; Kernig’s indication - 182 - Laterocollis L Lateral Medullary Syndrome The lateral medullary syndrome (or Wallenberg’s syndrome, after the neurologist who described it in 1895) results from damage (as per usual infarction) of the posterolateral medulla with or without involvement of the indifferent cerebellum, producing the following clinical features: ? Nausea, vomiting, light-headedness, oscillopsia (involvement of vestibular nuclei) ? Contralateral hypoalgesia, thermoanesthesia (spinothalamic tract) ? Ipsilateral facial hypoalgesia, thermoanesthesia, + facial pain (trigeminal spinal nucleus and sector) ? Horner’s syndrome (descending sympathetic parcel), +/? ipsilateral hypohidrosis of the band ? Ipsilateral ataxia of limbs (olivocerebellar/spinocerebellar fibers, low-grade cerebellum) ? Dysphagia, dysphonia, impaired gag reflex ? +/? fondness activity disorders, including nystagmus, abnormalities of ocular alignment (skew deviation, ocular joust resistance, environ- mentally ill tilt), plane running down and intent look holding, and saccades (lat- eropulsion) ? +/? hiccups (singultus); loss of sneezing This is a deductive way – a about-turn of the inductive arrangement outlined above Register of Neurology, Neurosurgery and Psychiatry 1994; 57: 739-741 Fractious References Firmly micrographia; Weaken; Parkinsonism Micropsia Micropsia, or “Lilliput take a gander at,” is an illus