J Korean Neurol Assoc.  2019 Feb;37(1):66-68. 10.17340/jkna.2019.1.12.

Presenting Internuclear Ophthalmoplegia with Peripheral Type Facial Palsy: Seven-and-a-Half Syndrome

Affiliations
  • 1Department of Neurology, Kyungpook National University Hospital, Daegu, Korea. azulmar@gmail.com

Abstract

A 49-year-old male presented with horizontal binocular diplopia without facial pain or skin lesion. Limitation of medial gaze in the left eye was revealed on neurological examination, which is accompanied by peripheral facial nerve palsy ipsilaterally. The diagnosis had been made based on the diffusion restriction lesion of left pontine tegmentum. We may denominate a "seven-and-a-half syndrome" and clinician should maintain a high level of awareness of the various syndromes associated with pontine lesions.

Keyword

Pontine tegmentum; Facial paralysis; Ocular motility disorders

MeSH Terms

Diagnosis
Diffusion
Diplopia
Facial Nerve
Facial Pain
Facial Paralysis*
Humans
Male
Middle Aged
Neurologic Examination
Ocular Motility Disorders*
Paralysis
Pontine Tegmentum
Skin
Telescopes
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