A rare case of diplopia: medial inferior pontine syndrome or Foville's syndrome.
A case of medial inferior pontine syndrome or Foville's syndrome is described. The patient presented to the emergency department with an acute history of slurred speech, vertigo and diplopia as major complaints. He also mentioned the appearance of weakness and numbness in his left leg. The physical examination revealed a crossed neurological deficit (ipsilateral cranial nerve deficit with contralateral motor weakness) which is typical for posterior circulation stroke in the brainstem territory. In our patient the lesion was located in the right medial inferior pontine region. All the symptoms and signs disappeared within 24 hours confirming the importance of a detailed physical and neurological examination of each patient presenting at the emergency department with a neurological deficit.
Hubloue
I
I
Emergency Department, University Hospital, Free University of Brussels (AZ-VUB), Belgium.
Laureys
S
S
Michotte
A
A
D000368:Aged; D002561:Cerebrovascular Disorders / Q000150:complications* / Q000175:diagnosis; D004172:Diplopia / Q000209:etiology*; D004452:Echocardiography; D004569:Electroencephalography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D010808:Physical Examination; D011149:Pons; D013577:Syndrome