| Autor: |
Algin DI, Taser F, Aydin S, Aksakalli E |
| Zdroj: |
Archives of Neuropsychiatry / Nöropsikiyatri Arşivi; 2009, Vol. 46 Issue 4, p197-199, 3p |
| Abstrakt: |
Weber's syndrome is a distinctive brainstem disease characterized by ipsilateral 3rd nerve palsy with contralateral hemiplegia and is due to an intrinsic or extrinsic lesion in the ventral midbrain. To date, there is limited literature concerning Weber's syndrome associated with central facial palsy, but none was demonstrated with comprehensive explanation. We report a rare case presented with Weber's syndrome and central facial palsy caused by infarction of ventromedial crural region of the mesencephalon.The patient was a 68-year-old woman who developed central type facial palsy on right side, and complete left 3rd nerve palsy, right hemiparesis and paresthesia with deep sensory disturbance of right upper and lower extremities.A T2 weighted cranial MRI showed an acute infarct in the left ventromedial crural region of the mesencephalon and this lesion was presumed to involve both the corticospinal and corticobulbar tracts. This report demonstrates an extremely rare case of crossed hemiplegia with oculomotor and facial nerve palsy due to an infarct in the upper part of the midbrain as documented by the MRI scan. The other interesting feature to note in our report is that the patient completely recovered six months later. This indicates that some of these patients may have a good prognosis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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