Presentation
Though several clinical variants have emerged over the years, classical Foville syndrome presents with ipsilateral sixth nerve palsy, facial palsy, and contralateral hemiparesis. [pubmed.ncbi.nlm.nih.gov]
The cranial nerve findings can present as follows: Sixth nuclear palsy: this presents as an inability to abduct the ipsilateral eye. [statpearls.com]
First patient, presented with sudden onset of headache, left hypoacusia and right hemiparesis, posteriorly developing gaze-evoked nystagmus and worsening right-sided weakness. [ncbi.nlm.nih.gov]
Superior Foville syndrome is a rare clinical presentation of stroke and presented a rich semiological feature of the posterior cerebral fossa. Introduction The Superior Foville Syndrome is a rare clinical feature of stroke or brain hemorrhage. [panafrican-med-journal.com]
Entire Body System
- Weakness
First patient, presented with sudden onset of headache, left hypoacusia and right hemiparesis, posteriorly developing gaze-evoked nystagmus and worsening right-sided weakness. [ncbi.nlm.nih.gov]
He also mentioned the appearance of weakness and numbness in his left leg. [cris.vub.be]
– upper and lower extremity Corticospinal tract Ipsilateral Weakness – face – entire side VII nucleus / fascicle Ipsilateral Lateral gaze weakness PPRF or CN VI nucleus Notes Unilateral lesion in the dorsal pontine tegmentum in the caudal third of the [strokecenter.org]
That weakness was preceded by acute headaches and rotatory vertigo without nausea or vomiting. [panafrican-med-journal.com]
- Disability
In a study by Zhao et al., 281 patients with pontine infarcts were studied for disability rates at one year. [statpearls.com]
- Falling
Patching is usually the best acute solution for sick patients, patients in the hospital or in rehabilitation, and older patients who are at risk of falling. 13.8.2 Prisms Diplopia can be corrected by placing a prism of appropriate power in front of one [neuro-ophthalmology.stanford.edu]
They found that the majority of patients with strokes involving the paramedian artery had a good prognosis (defined as a modified Rankin Score (mRS) less than 2).[9] Complications Medical complications reported after stroke include recurrent strokes, falls [statpearls.com]
- Anemia
アダムス・ストークス Adams-Stokes syndrome アダムス・ストークス症候群 RobertAdams (1791-1875) Irish surgeon and William Stokes (1804-1878) Irishphysician Addison アジソン Addison's disease アジソン病 ThomasAddison (1793 - 1860) Englishphysician Addison-Biermer アジソン・ビールメル Addison-Biermer anemia [jams.med.or.jp]
Skin
- Anhidrosis
DISCUSSION Ischemia is the most common cause of Foville syndrome.1-5 Interestingly, the patient discussed here did not have anisocoria, anhidrosis, or ptosis indicative of oculosympathetic paresis, but she did have an additional finding of cerebellar [modernod.com]
[…] the medial longitudinal fasciculus presents with internuclear ophthalmoplegia, manifesting as an inability to adduct the ipsilateral eye.[10] Involvement of the sympathetic fibers can present with the Horner syndrome (ipsilateral ptosis, miosis, and anhidrosis [eyewiki.aao.org]
Eyes
- Diplopia
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. [cris.vub.be]
Four months after the AVM resection, the patient’s diplopia and facial weakness resolved, but her other ocular findings remained the same. [modernod.com]
Specific syndromes need to be known because of their highly localizing value (▶Table 13.6). 13.8 Treatment of Diplopia Binocular diplopia resolves when the patient closes one eye. [neuro-ophthalmology.stanford.edu]
Results: We included 18 patients with diplopia, 6 female and 12 male. Age 28 years old, SD 22 (10; CI 95 percent). [pesquisa.bvsalud.org]
- Blepharoptosis
Sagging eyelids in the elderly (blepharoptosis) or due to prior eye surgery. causes of Horner's syndrome First-order nerves begin in the hypothalamus, travel through the lateral brainstem, and end in the intermediolateral column of the spinal cord (ciliospinal [emcrit.org]
Psychiatrical
- Suggestibility
The patient later complained of left hearing loss and the brainstem auditory evoked potential study suggested a peripheral lesion. [e-tjo.org]
Sudden onset of abducens nerve palsy suggests a microvascular etiology. Conversely, slowly progressive onset suggests a compressive etiology. Subacute onset suggests a demyelinating process as a possible etiology. [eyewiki.aao.org]
A bilateral Babinski sign: In isolation, this often suggests spinal cord pathology. [emcrit.org]
This syndrome suggests a lesion in lower pontine tegmentum [ 2 ]. Our patient presented hemorrhagic stroke of the right posterolateral part of the pons corresponding to the right lower tegmentum. [ncbi.nlm.nih.gov]
This syndrome suggests a lesion in lower pontine tegmentum [2]. Our patient presented hemorrhagic stroke of the right posterolateral part of the pons corresponding to the right lower tegmentum. [panafrican-med-journal.com]
Neurologic
- Ataxia
Midbrain: Paramedian Branches of PCA and Basilar Perforators (Ipsilateral) CN III Palsey (Contralateral) Weakness, vertical gaze palsey Midbrain: PCA occlusion - stroke of rednucleus and cerebral peduncle (Ipsilateral) CN III Palsey (Contralateral) Ataxia [quizlet.com]
Immediately after surgery, the patient experienced the onset of horizontal diplopia, left-sided facial numbness and weakness, left-sided hearing loss, and left-sided ataxia (Table). Figure 1. [modernod.com]
Reports exist of other features such as facial hypoesthesia, peripheral deafness, Horner syndrome, ataxia, pain, and thermal hypoesthesia. Copyright © 2023, StatPearls Publishing LLC. [pubmed.ncbi.nlm.nih.gov]
A neurological examination revealed left hemiplegia, left hemiparesthesia, left-side sensory ataxia, right facial palsy, and right facial analgesia. [e-tjo.org]
It is characterized by ipsilateral sixth nerve palsy, facial palsy, facial hypoesthesia, peripheral deafness, Horner’s syndrome and contralateral hemiparesis, ataxia, pain, and thermal hypoesthesia [ 3 ]. [ncbi.nlm.nih.gov]
- Intracranial Hemorrhage
Source MeSH Brain Stem Infarctions Humans Intracranial Hemorrhages Male Pons Senegal Stroke Tomography, X-Ray Computed Young Adult Pub Type(s) Case Reports Journal Article Language eng PubMed ID 28292169 TY - JOUR T1 - Superior Foville syndrome due to [unboundmedicine.com]
An MRI of the brain is necessary to evaluate for other brainstem structural etiologies such as intracranial hemorrhage, tumor, or inflammatory lesions. The vascular evaluation will help determine the etiologies discussed above. [statpearls.com]
- Cerebellar Ataxia
Tuberculoma, Tumor Nothnagel Syndrome Cranial Nerves Unilateral or Bilateral CN III Nothnagel Syndrome Tracts Superior Cerebellar Peduncle Ocular Palsey, Occular paralysis of gaze and cerebellar ataxia Nothnagel syndrome Causes Parinaud Syndrome Cranial [quizlet.com]
ataxia secondary to cerebellar arteriovenous malformation (AVM) resection. [modernod.com]
Eponym Marie-Foix Syndrome Vascular Basilar artery: Long circumferential branches Anterior inferior cerebellar artery Signs & Symptoms Side Manifestation Comments Ipsilateral Ataxia – arm and leg Cerebellar tracts Contralateral Weakness – upper and lower [strokecenter.org]
[…] type of Foville’s syndrome, had also been proposed and reported in association with the upper pons. [9], [10] The clinical features of this variant included ipsilateral cerebellar ataxia, Horner’s syndrome, paresis of conjugate gaze and contralateral [e-tjo.org]
- Cranial Nerve Finding
The cranial nerve findings can present as follows: Sixth nuclear palsy: this presents as an inability to abduct the ipsilateral eye. [statpearls.com]
- Long Tract Signs
The classic syndrome involves the inferiomedial pons which would present with ipsilateral sixth nerve palsy, seventh nerve palsy and/or eight nerve palsy, fifth sensory nuclear palsy, and long tract signs: contralateral hemiparesis and hemisensory loss [statpearls.com]
Workup
The most important goal of the workup is to establish the type of vascular lesion and the mechanism of the stroke. Ultrasonography Transcranial Doppler (TCD) is used in the evaluation of cerebrovascular disease, but it often is inaccurate. [emedicine.medscape.com]
Treatment
Outline the treatment and management options available. [statpearls.com]
Conclusion : More accurate diagnosis, more aggressive treatments and further researches are all required on this disease afterwards. [koreascience.or.kr]
Conclusion : More accurate diagnosis, more aggressive treatments and further researches are all required on this disease afterwards. 피인용 횟수 KCI 4회 284 회 열람 KCI 원문 내려받기 논문 인용하기 서지정보 내보내기 txt RefWorks Endnote XML 현재 페이지 인쇄 인용현황 [kci.go.kr]
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology History and Physical Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Deterrence and Patient Education Enhancing Healthcare Team [pubmed.ncbi.nlm.nih.gov]
A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. [gpnotebook.co.uk]
Prognosis
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology History and Physical Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Deterrence and Patient Education Enhancing Healthcare Team [pubmed.ncbi.nlm.nih.gov]
Conclusions: To identify the topographic diagnosis and prognosis of brain diseases in PS is very important to complete the study of strabismus. [pesquisa.bvsalud.org]
The prognosis for central pain syndromes is poor with no spontaneous resolution of symptoms. [academic.oup.com]
Prognosis The evidence for long term outcomes has been a research topic in a few prospective studies. In a study by Zhao et al., 281 patients with pontine infarcts were studied for disability rates at one year. [statpearls.com]
Wittmaack-Ekbom's syndrome; RLS Overview Historical Perspective Classification Pathophysiology Causes Differentiating Restless legs syndrome from other Diseases Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis [wikidoc.org]
Etiology
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology History and Physical Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Deterrence and Patient Education Enhancing Healthcare Team [pubmed.ncbi.nlm.nih.gov]
An MRI of the brain is necessary to evaluate for other brainstem structural etiologies such as intracranial hemorrhage, tumor, or inflammatory lesions. The vascular evaluation will help determine the etiologies discussed above. [statpearls.com]
Epidemiology
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology History and Physical Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Deterrence and Patient Education Enhancing Healthcare Team [pubmed.ncbi.nlm.nih.gov]
Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D. [2] Synonyms and Keywords: Wittmaack-Ekbom's syndrome; RLS Overview Historical Perspective Classification Pathophysiology Causes Differentiating Restless legs syndrome from other Diseases Epidemiology [wikidoc.org]
[…] the endothelial lining of the basilar artery, they protrude into the perforator ostia, namely the paramedian pontine branches, causing occlusion and subsequent infarct.[4][5] Other possible causes are due to small vessel disease and cardioembolism.[6] Epidemiology [statpearls.com]
Sex differences in stroke epidemiology: a systematic review. Stroke. 2009; 40 (4). doi: 10.1161/STROKEAHA.108.540781. | Open in Read by QxMD Ariesen MJ, Claus SP, Rinkel GJ, Algra A. [www-amboss-com.db.rsu.lv]
Pathophysiology
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology History and Physical Evaluation Treatment / Management Differential Diagnosis Prognosis Complications Deterrence and Patient Education Enhancing Healthcare Team [pubmed.ncbi.nlm.nih.gov]
As such, it also has the appellation of inferior Foville syndrome.[2] Pathophysiology Foville syndrome is one of many stroke syndromes that localizes to the pons. [statpearls.com]
Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D. [2] Synonyms and Keywords: Wittmaack-Ekbom's syndrome; RLS Overview Historical Perspective Classification Pathophysiology Causes Differentiating Restless legs [wikidoc.org]
Prevention
Improvements in primary and secondary stroke prevention are necessary to reduce the current and projected economic burden of stroke. [statpearls.com]
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
| Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies Case Studies Case #1 Actigraphy Parasomnia Disease mongering v t e Pathology of the nervous system, primarily CNS ( G00-G47, 320-349 ) Inflammatory diseases [wikidoc.org]