Abstract
The combination of pure motor hemiplegia and horizontal gaze palsy is a rare but identifiable lacunar syndrome. Among horizontal gaze palsies, one-and-a-half syndrome and abducens nerve palsy are reported to be associated with pure motor hemiplegia in pontine lacunar infarction. Although conjugate lateral gaze palsy is also hypothesized, pure motor hemiplegia with conjugate lateral gaze palsy has never been reported. We present a 75-year-old man who showed right hemiparesis and impaired left horizontal conjugate eyeball movement. Both the findings of the brain CT scan and those of the MRI study were consistent with a small infarction in the left midpontine tegmentum. Magnetic resonance angiography revealed no stenotic narrowing of the vertebrobasilar artery. Radiological findings suggested that pure motor hemiplegia with conjugate lateral gaze palsy, in our patient, might have been produced by the occlusion of a single penetrating branch of the basilar artery.
| Original language | English |
|---|---|
| Pages (from-to) | 86-88 |
| Number of pages | 3 |
| Journal | Yonsei Medical Journal |
| Volume | 37 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 1996 Jan 1 |
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All Science Journal Classification (ASJC) codes
- Medicine(all)
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Pure Motor Hemiplegia with Conjugate Lateral Gaze Palsy in Pontine Lacunar Infarction. / Heo, Jihoe; Bang, Oh Young; Choi, Sun Ah.
In: Yonsei Medical Journal, Vol. 37, No. 1, 01.01.1996, p. 86-88.Research output: Contribution to journal › Article
TY - JOUR
T1 - Pure Motor Hemiplegia with Conjugate Lateral Gaze Palsy in Pontine Lacunar Infarction
AU - Heo, Jihoe
AU - Bang, Oh Young
AU - Choi, Sun Ah
PY - 1996/1/1
Y1 - 1996/1/1
N2 - The combination of pure motor hemiplegia and horizontal gaze palsy is a rare but identifiable lacunar syndrome. Among horizontal gaze palsies, one-and-a-half syndrome and abducens nerve palsy are reported to be associated with pure motor hemiplegia in pontine lacunar infarction. Although conjugate lateral gaze palsy is also hypothesized, pure motor hemiplegia with conjugate lateral gaze palsy has never been reported. We present a 75-year-old man who showed right hemiparesis and impaired left horizontal conjugate eyeball movement. Both the findings of the brain CT scan and those of the MRI study were consistent with a small infarction in the left midpontine tegmentum. Magnetic resonance angiography revealed no stenotic narrowing of the vertebrobasilar artery. Radiological findings suggested that pure motor hemiplegia with conjugate lateral gaze palsy, in our patient, might have been produced by the occlusion of a single penetrating branch of the basilar artery.
AB - The combination of pure motor hemiplegia and horizontal gaze palsy is a rare but identifiable lacunar syndrome. Among horizontal gaze palsies, one-and-a-half syndrome and abducens nerve palsy are reported to be associated with pure motor hemiplegia in pontine lacunar infarction. Although conjugate lateral gaze palsy is also hypothesized, pure motor hemiplegia with conjugate lateral gaze palsy has never been reported. We present a 75-year-old man who showed right hemiparesis and impaired left horizontal conjugate eyeball movement. Both the findings of the brain CT scan and those of the MRI study were consistent with a small infarction in the left midpontine tegmentum. Magnetic resonance angiography revealed no stenotic narrowing of the vertebrobasilar artery. Radiological findings suggested that pure motor hemiplegia with conjugate lateral gaze palsy, in our patient, might have been produced by the occlusion of a single penetrating branch of the basilar artery.
UR - http://www.scopus.com/inward/record.url?scp=0030076369&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030076369&partnerID=8YFLogxK
U2 - 10.3349/ymj.1996.37.1.86
DO - 10.3349/ymj.1996.37.1.86
M3 - Article
C2 - 8967115
AN - SCOPUS:0030076369
VL - 37
SP - 86
EP - 88
JO - Yonsei Medical Journal
JF - Yonsei Medical Journal
SN - 0513-5796
IS - 1
ER -