We read with interest the comments made by Dr. Béjot on our article.1 We agree that Opalski syndrome2 should have been included in the table depicting the medullary vascular syndromes. However, we disagree with a few statements made by Béjot. Opalski syndrome is an atypical lateral medullary syndrome rather than a hemimedullary syndrome, where essential components are ipsilateral hemiparesis, positive Babinski sign, and contralateral sensory dysfunction.3,4 Kim et al. studied 130 patients with pure lateral medullary infarction. Seven individuals had ipsilateral hemiparesis without hyperreflexia or Babinski sign possibly attributed to spinocerebellar hypotonia and not due to pyramidal dysfunction as seen in classical Opalski syndrome.5
Footnotes
References
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