Presentation
The cranial nerve findings can present as follows: Sixth nuclear palsy: this presents as an inability to abduct the ipsilateral eye. [ncbi.nlm.nih.gov]
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]
We reported one such rare case of a patient with no known systemic co-morbidity, who presented with sudden onset diplopia, lagophthalmos and contralateral weakness of limbs. [ijmedicine.com]
- Lagophthalmos
We reported one such rare case of a patient with no known systemic co-morbidity, who presented with sudden onset diplopia, lagophthalmos and contralateral weakness of limbs. [ijmedicine.com]
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]
Face, Head & Neck
- Facial Numbness
Third patient, presented with sudden onset of left facial numbness and right upper limb weakness; 1 day after, right arm and leg hypoesthesia with hoarseness. [ncbi.nlm.nih.gov]
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]
Ipsilateral facial numbness (CN5-trigeminal). [emcrit.org]
Neurologic
- Cranial Nerve Finding
The cranial nerve findings can present as follows: Sixth nuclear palsy: this presents as an inability to abduct the ipsilateral eye. [ncbi.nlm.nih.gov]
- 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 [ncbi.nlm.nih.gov]
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]
Prognosis
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]
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]
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. [ncbi.nlm.nih.gov]
Etiology
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. [ncbi.nlm.nih.gov]
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 [ncbi.nlm.nih.gov]
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. [ncbi.nlm.nih.gov]
Prevention
Improvements in primary and secondary stroke prevention are necessary to reduce the current and projected economic burden of stroke. [ncbi.nlm.nih.gov]