Cheiro-oral Syndrome with INO following Brainstem Infarction.
- Author:
Du Shin JEONG
1
;
Bo Ram LEE
;
Sang Gull CHO
;
Hyung Kook PARK
;
Hyun Kil SHIN
;
Ki Bum SUNG
Author Information
1. Department of Neurology, College of Medicine, Soonchunhyang University.
- Publication Type:Original Article
- Keywords:
Cheiro-oral syndrome;
INO;
Stem infarction
- MeSH:
Brain;
Brain Stem Infarctions*;
Brain Stem*;
Diplopia;
Dizziness;
Hand;
Humans;
Magnetic Resonance Imaging;
Mesencephalon;
Middle Aged;
Neurologic Examination;
Ocular Motility Disorders;
Paresthesia;
Pons
- From:Journal of the Korean Neurological Association
1998;16(2):229-232
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Brainstem lesions may produce a cheiro-oral syndrome infrequently. The cheiro-oral syndrome in pontine lesion is due to involvement of ventral trigeminothalamic tract and the medial part of the medial lemniscus. The cheiro-oral syndrome rarely associates with internuclear ophthalmoplegia. A 58-year-old hypertensive man complained of dizziness, diplopia, and dysesthesia in the right hand and ipsilateral perioral region. On neurologic examination, there was left internuclear ophthalmoplegia. Others were unremarkable. Brain MRI demonstrated a small round lesion in the paramedian tegmentum of the left upper pons and lower midbrain, which involved ventral trigeminothalamic tract, medial part of medial lemniscus and medial longitudinal fasciculus. We report a case of brainstem infarction with a rare combination of cheiro-oral syndrome and internuclear ophthalmoplegia.
