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Stroke Diagnosis

In this Section:
Diagnostic Tests | Imaging | Image Library | Stroke Scales | Stroke Syndromes
Syndromes Arranged by: Vascular Territory | Eponym | Syndrome Name


Stroke Syndromes

Inferior medial pontine syndrome
Eponym:

Foville Syndrome
Anatomy:

Pons: Unilateral lesion in the dorsal pontine tegmentum in the caudal third of the pons
Vascular:

Basilar artery: Paramedian branches
Basilar artery: Short circumferential arteries

Signs & Symptoms:

*Side: Manifestation: Comments:
C
Weakness - upper and lower extremity Corticospinal tract
I
Weakness - face - entire side VII nucleus / fascicle
I
Lateral gaze weakness PPRF or CN VI nucleus
*Side: Ipsilateral, Contralateral, Both, Neither

Notes:

Foville Syndrome, Inferior medial pontine syndrome
Unilateral lesion in the dorsal pontine tegmentum in the caudal third of the pons.
1. Contralateral hemiplegia (with facial sparing) due to corticospinal tract involvement
2. Ispilateral peripheral-type facial palsy, due to cranial nerve VII nucleus/fascicle involvement.
3. Inability to move the eyes conjugately to the ipsilateral side due to paramedian pontine reticular formaiton and/or abducens nerve nucleus invovlement. That is, patient is unable to look toward the lesion.
Note: this is also called Millard-Gubler syndrome.


Author(s): Mikula Stambuk, WUMS

Updated: 11/21/2000
 

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