{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T14:16:56Z","timestamp":1788013016783,"version":"build-2784847793"},"reference-count":16,"publisher":"Japanese Society of Internal Medicine","issue":"19","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intern. Med."],"published-print":{"date-parts":[[2025,10,1]]},"DOI":"10.2169\/internalmedicine.4674-24","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T18:09:32Z","timestamp":1744394972000},"page":"2901-2906","source":"Crossref","is-referenced-by-count":1,"title":["Lateral Medullary Infarction Presenting as Opalski Syndrome Associated with Headache Attributed to Orthostatic Hypotension"],"prefix":"10.2169","volume":"64","author":[{"given":"Rie","family":"Tohge","sequence":"first","affiliation":[{"name":"Department of Neurology, Kansai Medical University Medical Center, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Utsumi","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Medical University Medical Center, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuaki","family":"Oki","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Medical University Medical Center, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kansai Medical University Medical Center, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"962","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Rytel L, Lech P, Szymanska K, Gonkowski S. Adam Opalski (1897-1963). J Neurol 265: 1730-1731, 2018.","DOI":"10.1007\/s00415-017-8704-8"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Benarroch EE. The central autonomic network: functional organization, dysfunction, and perspective. Mayo Clin Proc 68: 988-1001, 1993.","DOI":"10.1016\/S0025-6196(12)62272-1"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Aoki M. Orthostatic test. Equilibrium Res 80: 159-166, 2021.","DOI":"10.3757\/jser.80.159"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Altavilla R, Landi D, Altamura C, et al. Dorsolateral medullary ischemic infarction causing autonomic dysfunction and headache: a case report. J Headache Pain 13: 327-330, 2012.","DOI":"10.1007\/s10194-012-0427-8"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Huynh TR, Decker B, Fries TJ, Tunguturi A. Lateral medullary infarction with cardiovascular autonomic dysfunction: an unusual presentation with review of the literature. Clin Auton Res 28: 569-576, 2018.","DOI":"10.1007\/s10286-018-0502-6"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Uemura M, Naritomi H, Uno H, et al. Ipsilateral hemiparesis in lateral medullary infarction: clinical investigation of the lesion location on magnetic resonance imaging. J Neurol Sci 365: 40-45, 2016.","DOI":"10.1016\/j.jns.2016.04.006"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Rukerd MRZ, Mirkamali H, Alizadeh SD. Opalski syndrome: a comprehensive systematic review of cases. Clin Neurol Neurosurg 245: 108474, 2024.","DOI":"10.1016\/j.clineuro.2024.108474"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Dembo T, Tanahashi N. Opalski syndrome caused by vertebral artery compression of the lateral surface of the medulla oblongata. Intern Med 52: 1115-1120, 2013.","DOI":"10.2169\/internalmedicine.52.7177"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Kon T, Funamizu Y, Ueno T, et al. Dermatomal sensory manifestations in Opalski syndrome. J Stroke Cerebrovasc Dis 26: e18-e19, 2017.","DOI":"10.1016\/j.jstrokecerebrovasdis.2016.10.013"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Ikushima S, Ono R, Fukuda K, Sakayori M, Awano N, Kondo K. Trousseau's syndrome: cancer-associated thrombosis. Jpn J Clin Oncol 46: 204-208, 2016.","DOI":"10.1093\/jjco\/hyv165"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Kim JE, Patel K, Jackson CM. The potential for immune checkpoint modulators in cerebrovascular injury and inflammation. Expert Opin Ther Targets 25: 101-113, 2021.","DOI":"10.1080\/14728222.2021.1869213"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Navi BB, Iadecola C. Ischemic stroke in cancer patients: a review of an underappreciated pathology. Ann Neurol 83: 873-883, 2018.","DOI":"10.1002\/ana.25227"},{"key":"13","doi-asserted-by":"publisher","unstructured":"13. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia 38: 1-211, 2018.","DOI":"10.1177\/0333102417738202"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Iser C, Arca K. Headache and autonomic dysfunction: a review. Curr Neurol Neurosci Rep 22: 625-634, 2022.","DOI":"10.1007\/s11910-022-01225-3"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Lambru G, Trimboli M, Tan SV, Al-Kaisy A. Medullary infarction causing coexistent SUNCT and trigeminal neuralgia. Cephalalgia 37: 486-490, 2017.","DOI":"10.1177\/0333102416652093"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Lai SL, Chang YY, Liu JS, Chen SS. Cluster-like headache from vertebral artery dissection: angiographic evidence of neurovascular activation. Cephalalgia 25: 629-632, 2005.","DOI":"10.1111\/j.1468-2982.2004.00905.x"}],"container-title":["Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/64\/19\/64_4674-24\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T03:20:14Z","timestamp":1759548014000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/internalmedicine\/64\/19\/64_4674-24\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":16,"journal-issue":{"issue":"19","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2169\/internalmedicine.4674-24","relation":{},"ISSN":["0918-2918","1349-7235"],"issn-type":[{"value":"0918-2918","type":"print"},{"value":"1349-7235","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]},"article-number":"4674-24"}}