Bilateral horizontal gaze palsy with unilateral peripheral facial paralysis caused by pontine tegmentum infarction.
Clinical features of pontine infarction depend on the topography of vascular lesion and most remarkably sometimes the same topographic region can lead to different clinical syndromes (e.g., dorsal pontine tegmentum). In this report we describe an elderly patient with acute dorsal pontine infarction leading to a unique syndrome of bilateral horizontal gaze palsy and unilateral peripheral facial paralysis. We propose that this syndrome could be included as a part of a continuum that involves one-and-a-half syndrome, eight-and-a-half syndrome, and other variants of pontine tegmentum infarction.
Neurology Division, Hospital e Maternidade São Camilo, Pompéia, Sao Paulo, Brazil. cf.andre@gmail.com
Andre C
AC
Felicio
Denis B
DB
Bichuetti
Luis F
LF
Marin
William A C
WA
dos Santos
Clecio
C
Godeiro-Junior
D000368:Aged; D020526:Brain Stem Infarctions / Q000150:complications* / Q000473:pathology*; D002561:Cerebrovascular Disorders / Q000150:complications / Q000473:pathology; D005158:Facial Paralysis / Q000209:etiology*; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015835:Ocular Motility Disorders / Q000209:etiology*; D011149:Pons / Q000473:pathology*; D013702:Temporal Lobe / Q000473:pathology