J Korean Neurol Assoc.  2017 May;35(2):89-91. 10.17340/jkna.2017.2.5.

Pontine Infarct Presenting as Peripheral Type Unilateral Facial Palsy

Affiliations
  • 1Department of Neurology, Gachon University Gil Medical Center, Incheon, Korea. sphincter@naver.com

Abstract

Acute peripheral facial palsy usually manifests Bell's palsy of unknown cause, and rarely lacunar infarct which located in facial nucleus can mimic peripheral facial palsy. A 73 year-old man with isolated facial asymmetry diagnosed with lacunar infarction which selectively involve the facial fascicles which lie in inferolateral aspect of pons. Clinicians should take into account the possibility of central lesion and brain stem infarction, even when patients present with isolated peripheral type facial palsy.

Keyword

Bell's palsy; Pontine infarction; Facial nerve fascicle

MeSH Terms

Bell Palsy
Brain Stem Infarctions
Facial Asymmetry
Facial Nucleus
Facial Paralysis*
Humans
Pons
Stroke, Lacunar
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