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Pontine Infarct Resulting in Millard-Gubler Syndrome: A Case Report

Millard-Gubler syndrome is a crossed brainstem syndrome involving the facial nerve, abducens nerve, and the pyramidal tracts, typically resulting in ipsilateral facial weakness and contralateral hemiparesis. Here we report the case of a 76-year-old female with no pertinent past medical history who p...

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Detalles Bibliográficos
Autores principales: Patel, Shivangi, Bhakta, Ashika, Wortsman, Joshua, Aryal, Barun B, Shrestha, Dhan B, Joshi, Tilak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010748/
https://www.ncbi.nlm.nih.gov/pubmed/36923200
http://dx.doi.org/10.7759/cureus.34869
Descripción
Sumario:Millard-Gubler syndrome is a crossed brainstem syndrome involving the facial nerve, abducens nerve, and the pyramidal tracts, typically resulting in ipsilateral facial weakness and contralateral hemiparesis. Here we report the case of a 76-year-old female with no pertinent past medical history who presented to the emergency department with acute left-sided facial droop and right upper extremity sensory loss. A pontine infarction was identified on imaging and she was managed medically with complete recovery. Pontine infarction can result in Millard-Gubler syndrome and present with facial weakness and subtle contralateral limb symptoms.