A traumatically injured patient may present with many distracting injuries. Appropriate treatment of this patient requires that airway patency be the first priority. Injury to the larynx may range from simple mucosal tears to fractured and comminuted cartilage. Any combination of injuries along this continuum can result in a precipitous airway emergency.
Medial medullary syndrome, also known as inferior alternating syndrome, hyploglossal alternating hemiplegia, or lower alternating hemiplegia, is a set of clinical features resulting from occlusion of vertebral artery or of branch of vertebral or lower basilar artery. This results in the infaction of medial part of the medulla oblongata.