One-and-a-half syndrome with facial diplegia: A case report
- Author:
Hongyang Sun
;
Yixin Wang
;
Jing Bai
- Publication Type:Case Reports
- Keywords:
one-and-a-half syndrome;
facial diplegia;
pontine infarction;
fifteen-and-a-half syndrome
- From:Neurology Asia
2017;22(1):69-71
- CountryMalaysia
- Language:English
-
Abstract:
One-and-a-half syndrome with facial diplegia, also referred to as the fifteen-and-a-half syndrome, is an
extremely rare clinical entity caused by involvement of bilateral tegmentum of pons. Herein, we report
a 52-year-old male who presented with one-and-a-half syndrome with left facial paralysis, which was
consistent with the so-called eight-and-a-half syndrome. Brain magnetic resonance imaging showed
pontine infarction. Five days after initiation of antiplatelet therapy, the patient developed right facial
paralysis, a diagnosis of fifteen-and-a-half syndrome was made, repeat MR imaging revealed bilateral
pontine tegmentum infarction. Fifteen-and-a-half syndrome is a newly proposed concept associated
with pontine infarction. The clinicoradiological features of this specific disease are as yet unclear due
to its extreme rarity. The current case would help advance the current understanding of the disease
spectrum of pontine infarction.
- Full text:P020170413339724785415.pdf
