Nepalese journal of ophthalmology : a biannual peer-reviewed academic journal of the Nepal Ophthalmic Society : NEPJOPH · 2021
Eight and a Half Syndrome: A Rare Case of Pontine Infarction.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kowsalya Akkayasamy, DO Srinivasan Thanemozhi
Аннотация
INTRODUCTION: This case report describes "one-and-a-half" syndrome with supranuclear facial palsy.
CASE: 39 years old male hypertensive patient presented with right facial nerve palsy, internuclear ophthalmoplegia and conjugate gaze palsy. Neuroimaging showed acute posterior pontine infarct at medial longitudinal fasciculus, paramedian pontine reticular formation, abducens nerve nucleus and seventh nerve fascicular zone.
OBSERVATION: "One-and-a-half"syndrome is characterized by a lateral gaze palsy in one direction and internuclear ophthalmoplegia in the other. Our patient had Right sided one and a half syndrome along with the right facial nerve palsy.
CONCLUSION: Eight and a half syndrome is a rare manifestation of pontine infarction.
CASE: 39 years old male hypertensive patient presented with right facial nerve palsy, internuclear ophthalmoplegia and conjugate gaze palsy. Neuroimaging showed acute posterior pontine infarct at medial longitudinal fasciculus, paramedian pontine reticular formation, abducens nerve nucleus and seventh nerve fascicular zone.
OBSERVATION: "One-and-a-half"syndrome is characterized by a lateral gaze palsy in one direction and internuclear ophthalmoplegia in the other. Our patient had Right sided one and a half syndrome along with the right facial nerve palsy.
CONCLUSION: Eight and a half syndrome is a rare manifestation of pontine infarction.