A CASE OF OCCLUSION OF THE POSTERIOR INFERIOR CEREBELLAR ARTERY WITH CARDIAC MANIFESTATIONS AND INVOLVEMENT OF THE LEFT VAGUS NUCLEUS

Abstract

The typical syndrome which this case presents and the unusual cardiac complications which it manifests, have an important bearing on certain physiologic problems with regard to the course of the sensory tracts in the medulla, and the influence of the vagus on the heart action. REPORT OF CASE History. —L. A., a man, aged 48, born in Austria, was admitted to the Neurologic service of the Mount Sinai Hospital, May 29, 1918, complaining of persistent hiccough. His present illness began gradually five days before admission (Friday). He had felt perfectly well that day until the evening, when he experienced the sensation of nausea and fatigue immediately after finishing a heavy meal. He sought relief by going to bed. The next morning (Saturday), despite a good night's rest, this feeling of nausea persisted. In addition he developed subjective dizziness, which was aggravated by sitting and walking. His gait became unsteady, and