Neurology Asia  2017;22(4):349-352

“Nine” syndrome and its MRI brain findings

Yong Muh NG 1 ; Pei San KANG ; Chiew Gek KHOR ; Ping Seung ONG ; Ramanathan Gr LETCHUMAN

Affiliations

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Keywords

Stroke; facial nerve palsy; one and a half syndrome; eight and a half syndrome; nine syndrome; caudal pontine tegmental syndrome

Country

Malaysia

Language

English

Abstract

We describe a rare presentation of pontine infarction in a lady who was on dual antiplatelet therapy.Her presentation includes one and a half syndrome, left facial nerve palsy and contralateral hemiataxia.Magnetic resonance imaging (MRI) of the brain revealed acute infarction of the dorsal pons. A diagnosisof “nine” syndrome secondary to lacunar stroke was made. She continued dual antiplatelet therapyand her symptoms resolved completely over three months.