Combined Facial and Abducens Nerve Palsy in Pontine Infarction.
- Author:
Ki Seon KIM
1
;
Dae Woong YANG
;
Chang Min LEE
;
Jiyeong YI
;
Geun Ho LEE
;
Jae Il KIM
Author Information
1. Department of Neurology, Dankook University Hospital.
- Publication Type:Original Article
- Keywords:
Isolated cranial neuropathy;
Facial nerve palsy;
Abducens nerve palsy;
Paramedian pontine infarction
- MeSH:
Abducens Nerve Diseases*;
Abducens Nerve*;
Aged;
Brain;
Cranial Nerve Diseases;
Facial Nerve;
Female;
Humans;
Infarction*;
Magnetic Resonance Imaging;
Paralysis
- From:Journal of the Korean Neurological Association
1998;16(5):752-754
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Isolated cranial neuropathies involving the facial nerve are very rare manifestations of pontine infarction, and have not been described in paramedian pontine infarction. We report a 67-year-old woman who developed sudden and long-lasting right facial nerve paralysis accompanied by transient ipsilateral abducens nerve palsy. Brain magnetic resonance imaging showed two discrete simultaneous infarctions in the right inferior paramedian pontine area, which seemed to correspond to the facial nerve fascicle and the abducens nerve fascicle, respectively. Paramedian pontine infarction can be one of the causes of facial nerve palsy and present as an isolated or predominant sign.