Pure Motor Hemiplegia with Conjugate Lateral Gaze Palsy in Pontine Lacunar Infarction

Jihoe Heo, Oh Young Bang, Sun Ah Choi

Research output: Contribution to journalArticle

4 Citations (Scopus)

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 languageEnglish
Pages (from-to)86-88
Number of pages3
JournalYonsei Medical Journal
Volume37
Issue number1
DOIs
Publication statusPublished - 1996 Jan 1

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Lacunar Stroke
Hemiplegia
Paralysis
Abducens Nerve Diseases
Basilar Artery
Magnetic Resonance Angiography
Paresis
Infarction
Arteries
Magnetic Resonance Imaging
Brain

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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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 journalArticle

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