Case Report Babinski-Nageotte Syndrome Diagnosed in Postpartum Period Serdar Oruç, 1 Hayri DemirbaG, 1 Abdullah Güzel, 1 Mehtap Beker Acay, 2 and Mehmet Yaman 1 1 Department of Neurology, Afyon Kocatepe University School of Medicine, 03200 Afyonkarahisar, Turkey 2 Department of Radiology, Afyon Kocatepe University School of Medicine, 03200 Afyonkarahisar, Turkey Correspondence should be addressed to Serdar Oruc ¸; drserdaroruc@gmail.com Received 19 October 2015; Revised 13 January 2016; Accepted 26 January 2016 Academic Editor: Chin-Chang Huang Copyright © 2016 Serdar Oruc ¸ et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Babinski-Nageotte Syndrome (BNS) is one of the brainstem syndromes characterized by muscle weakness in the opposite half of the body with classic Wallenberg fndings. According to our literature survey, only a few cases have been reported and none of them was in the postpartum period. We report a case of a typical BNS in a postpartum woman with an ischemic lesion in the medulla oblongata shown on magnetic resonance imaging. 1. Introduction Firstly diagnosed in 1902, Babinski-Nageotte Syndrome (BNS) is one of the brainstem syndromes characterized by medulla oblongata ischemia [1]. In BNS, which has been described in very few cases in the literature, lateral medullary syndrome symptoms as well as contralateral motor defcit have been observed. Here, we have reported a case diagnosed with BNS which was developed on the 10th day of the postpartum period. 2. Case Report A 30-year-old woman was evaluated with complaints of dysarthria, dysphagia, dizziness, nausea, vomiting, and weak- ness of lef arm and leg. According to her medical history, there was sudden development of dizziness, nausea, and vom- iting symptoms one hour before her admission to the hospital and later complaints of dysphagia, dysarthria, and weakness of lef arm and leg were added to her presenting complaints. Tere was no background or family history of the patient with the exception that she had given birth by Caesarean section, 10 days before, and was diagnosed with preeclampsia in the 33rd week of her pregnancy. In her frst evaluation, the patient was in stuporous state and she had dysarthric speech. During examination of her eye movements, vertical and horizontal nystagmus were observed. Tere was fattening of lef sided nasolabial sulcus with abnormal gag refex observed during cranial nerve examination. In the motor system examination, the lef upper and lower extremity muscle power were 3/5 level and her Babinski refex was found to be an exten- sor response on the lef side. During the sensory system examination, pain and thermal senses of the patient were decreased on the lef side of the body and cerebellar tests were abnormal on the right side. Evaluation of the cranial MRI screening of the patient with the misdoubt of cerebrovascular disease showed results that were consistent with difusion restriction which was thought to be acute infarct extending to inferior cerebellar peduncle with involvement of right sided posterolateral medulla oblongata (Figure 1). In magnetic resonance angiography (MRA), stenosis was seen in the distal segment of right vertebral artery (Figure 2). In addition to lateral medullary syndrome symptoms, there was also contralateral muscle weakness observed in the patient. Terefore, we reached a conclusion that the patient had BNS and medical treatment was initiated accordingly. Te patient was hospitalized for 15 days in our clinic. At the end of the ffeenth day her neurological symptoms improved except ataxia and dysarthria. 3. Discussion Babinski-Nageotte Syndrome (BNS) is one of the brainstem syndromes characterized by muscle weakness in the opposite Hindawi Publishing Corporation Case Reports in Neurological Medicine Volume 2016, Article ID 5206430, 2 pages http://dx.doi.org/10.1155/2016/5206430