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Loss of ability to sneeze in lateral medullary syndrome

From the Department of Neurology, New South Wales University, St. George Hospital, Sydney, Australia.

Address correspondence and reprint requests to Dr. Hersch, Staff Specialist in Neurology, New South Wales University, St. George Hospital, Sydney, Australia 2217.

Four consecutive patients with lateral medullary syndrome reported reversible inability to complete a reflex sneeze, despite retaining the urge to do so and the ability to mimic the motor act. This previously undescribed feature of a relatively common syndrome is in keeping with the known location of a "sneeze center" in the lateral medulla of cat. In man, unilateral brainstem lesion is sufficient to abolish the sneeze reflex temporarily.

Key words: Sneeze—Lateral medullary syndrome—Stroke

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